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 $43.65 Median $43.65 Typical High $43.65 | Facility | TC · Technical part | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $56.23 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.44 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $30.90 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
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 $22.39 Median $31.62 Typical High $57.54 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $22.39 | $31.62 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $724.44 Typical High $1,348.96 | Facility | None | $223.87 | $724.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $48.98 | $58.88 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $25.12 | $29.51 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $28.84 | $57.54 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $81.28 | Professional | None (both parts) | $45.71 | $54.95 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $25.12 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $25.12 | $30.20 | $46.77 |
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 $28.18 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $28.18 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $11.22 | $15.49 | $15.49 |
Where Alabama sits
The same service costs 3.8 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· 27th of 51
$72.44
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.