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 TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TC · Technical part | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $120.23 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $20.89 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $100.00 | $134.90 | $134.90 |
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 $24.55 Median $93.33 Typical High $128.82 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $24.55 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $870.96 | Facility | None | $245.47 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $64.57 | $69.18 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $19.95 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $48.98 | $131.83 |
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 $52.48 Median $120.23 Typical High $295.12 | Professional | None (both parts) | $52.48 | $120.23 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $22.39 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $93.33 Typical High $281.84 | Professional | TC · Technical part | $37.15 | $93.33 | $281.84 |
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 $60.26 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $23.99 | $33.88 | $33.88 |
Where Alabama sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 42nd of 51
$126
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.