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 $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $5.75 Median $53.70 Typical High $74.13 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $5.75 | $53.70 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $147.91 | Facility | None | $134.90 | $134.90 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $245.47 | Professional | None (both parts) | $81.28 | $81.28 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $26.30 | Professional | 26 · Professional part | $8.51 | $8.51 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $72.44 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $53.70 | $70.79 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $5.75 | $7.76 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $41.69 | $63.10 | $114.82 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
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
$245
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.