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 $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
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 $19.50 Median $151.36 Typical High $204.17 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $19.50 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Facility | None | $371.54 | $371.54 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $707.95 | Professional | None (both parts) | $234.42 | $234.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $30.90 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $204.17 | $616.60 |
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 $85.11 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $85.11 | $194.98 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $60.26 | $173.78 | $316.23 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 4.8 times more in Alaska than in Indiana. 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· 3rd 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.