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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $38.90 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $32.36 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $11.48 | $11.48 | $14.45 |
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 $25.12 Median $45.71 Typical High $89.13 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $25.12 | $45.71 | $89.13 |
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 $33.11 Median $38.90 Typical High $79.43 | Professional | None (both parts) | $33.11 | $38.90 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $15.14 | $17.78 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $21.38 | $53.70 |
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 $30.90 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $30.90 | $41.69 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $15.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $26.92 | $46.77 |
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 $18.20 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $7.41 | $10.47 | $10.47 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in New York. 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· 37th of 51
$50.12
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.