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 $97.72 Median $97.72 Typical High $138.04 | Facility | None | $97.72 | $97.72 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $102.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $72.44 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $45.71 Median $117.49 Typical High $194.98 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $45.71 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,041.74 Typical High $3,801.89 | Facility | None | $524.81 | $2,041.74 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $91.20 | $120.23 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $81.28 | $131.83 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,511.89 | Facility | None | $1,819.70 | $1,905.46 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $57.54 | $100.00 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $33.88 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $27.54 | $66.07 | $104.71 |
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 $50.12 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 4.2 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· 23rd of 51
$132
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.