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 $95.50 Median $95.50 Typical High $95.50 | Facility | TC · Technical part | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $85.11 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $69.18 | $95.50 | $95.50 |
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 $18.20 Median $67.61 Typical High $91.20 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $18.20 | $67.61 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $588.84 | Facility | None | $194.98 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $70.79 | $83.18 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $20.42 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $61.66 | $120.23 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $47.86 | $83.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $17.78 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $66.07 | $81.28 |
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 $42.66 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $23.99 | $23.99 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 31st of 51
$97.72
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.