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 $245.47 Median $245.47 Typical High $245.47 | Facility | TC · Technical part | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $208.93 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
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 $23.99 Median $173.78 Typical High $239.88 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $23.99 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,047.13 | Facility | None | $309.03 | $309.03 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $204.17 | $204.17 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $37.15 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $165.96 | $512.86 |
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 $125.89 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $125.89 | $229.09 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $30.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $190.55 | $263.03 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Where Alabama sits
The same service costs 5.2 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· 5th of 51
$501
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.