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 $269.15 Median $269.15 Typical High $269.15 | Facility | TC · Technical part | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $25.12 Median $194.98 Typical High $269.15 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $25.12 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,047.13 | Facility | None | $478.63 | $478.63 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $912.01 | Professional | None (both parts) | $302.00 | $302.00 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $39.81 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $263.03 | $794.33 |
United Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $134.90 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $100.00 | $229.09 | $407.38 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Alabama sits
The same service costs 4.6 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· 5th of 51
$562
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.