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 $147.91 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $147.91 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $134.90 | $134.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,630.27 | $2,691.53 | $2,691.53 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $45.71 Median $104.71 Typical High $158.49 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $45.71 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $7,762.47 | Facility | None | $2,238.72 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $147.91 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $63.10 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $112.20 | $263.03 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,630.78 | $3,801.89 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $134.90 | $173.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $54.95 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $389.05 | Professional | TC · Technical part | $87.10 | $120.23 | $389.05 |
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 $72.44 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $41.69 | $41.69 |
Where Alabama sits
The same service costs 4.0 times more in Alaska 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· 35th of 51
$204
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.