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 $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $15.85 Median $72.44 Typical High $100.00 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $15.85 | $72.44 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $1,047.13 | Facility | None | $158.49 | $158.49 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $426.58 | Professional | None (both parts) | $128.82 | $138.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $89.13 | Professional | 26 · Professional part | $26.92 | $28.84 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $109.65 | $331.13 |
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 $79.43 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $79.43 | $104.71 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $45.71 | Professional | 26 · Professional part | $16.22 | $21.88 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $79.43 | $173.78 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Alabama sits
The same service costs 5.1 times more in Alabama than in Florida. 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· 1st of 51
$479
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.