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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $75.86 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
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 $25.70 Median $83.18 Typical High $120.23 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $25.70 | $83.18 | $120.23 |
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 $72.44 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $72.44 | $85.11 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $15.49 | $18.20 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $66.07 | $128.82 |
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 $60.26 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $60.26 | $89.13 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $15.85 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $72.44 | $97.72 |
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 $44.67 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $25.70 | $25.70 |
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· 40th of 51
$100
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.