How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $100.00 | Facility | None | $72.44 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $72.44 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $66.07 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $19.05 | $19.95 | $28.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $28.84 Median $79.43 Typical High $117.49 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $28.84 | $79.43 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $870.96 | Facility | None | $323.59 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $81.28 | $123.03 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $104.71 | $147.91 |
United Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $562.34 | Facility | None | $407.38 | $416.87 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $269.15 | Professional | None (both parts) | $60.26 | $91.20 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $22.91 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $251.19 | Professional | TC · Technical part | $38.90 | $67.61 | $251.19 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $35.48 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $19.95 | $19.95 |
Where Alabama sits
The same service costs 5.4 times more in New York than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 40th of 51
$105
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.