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 $446.68 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $446.68 | $446.68 | $446.68 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $26.92 Median $309.03 Typical High $426.58 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $26.92 | $309.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $3,388.44 | Facility | None | $794.33 | $794.33 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,380.38 | Professional | None (both parts) | $478.63 | $478.63 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $1,258.93 | Professional | TC · Technical part | $436.52 | $436.52 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,548.82 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $186.21 | $407.38 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $36.31 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $363.08 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $363.08 | $660.69 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Where Alabama sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 2nd of 51
$1,413
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.