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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $125.89 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $79.43 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $97.72 | $97.72 |
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 $57.54 Median $114.82 Typical High $190.55 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $57.54 | $114.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,041.74 Typical High $3,801.89 | Facility | None | $933.25 | $2,041.74 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $114.82 | $144.54 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $58.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $87.10 | $134.90 |
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 $87.10 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $87.10 | $117.49 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $50.12 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $42.66 | $67.61 | $109.65 |
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 $61.66 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $25.12 | $34.67 | $34.67 |
Where Alabama sits
The same service costs 5.2 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· 22nd of 51
$166
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.