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 None Typical Low $28.84 Median $33.11 Typical High $33.11 | Facility | None | $28.84 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $19.50 | $33.11 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.92 Typical High $6.92 | Professional | 26 · Professional part | $4.27 | $6.92 | $6.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $15.49 | $25.70 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
BCBS Alabama Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $12.30 Median $38.90 Typical High $57.54 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $12.30 | $38.90 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $21.88 Typical High $81.28 | Facility | None | $20.89 | $21.88 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $53.70 | Professional | None (both parts) | $14.45 | $14.45 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.39 Typical High $11.48 | Professional | 26 · Professional part | $3.16 | $3.39 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $45.71 | Professional | TC · Technical part | $10.96 | $10.96 | $45.71 |
United Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $60.26 | Facility | None | $43.65 | $44.67 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $16.98 | $31.62 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $6.03 Typical High $7.24 | Professional | 26 · Professional part | $4.07 | $6.03 | $7.24 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $23.99 Typical High $33.88 | Professional | TC · Technical part | $12.88 | $23.99 | $33.88 |
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 $10.96 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $10.96 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $4.47 | $6.61 | $6.61 |
Where Alabama sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 44th of 51
$32.36
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.