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 $251.19 Median $281.84 Typical High $281.84 | Facility | None | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $177.83 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $83.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS Alabama Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $147.91 Median $154.88 Typical High $302.00 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $147.91 | $154.88 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $645.65 | Facility | None | $162.18 | $169.82 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $128.82 | $138.04 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $138.04 | Professional | 26 · Professional part | $38.02 | $40.74 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $97.72 | $199.53 |
United Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $575.44 | Facility | None | $416.87 | $436.52 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $141.25 | $165.96 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $50.12 | $70.79 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $109.65 | $194.98 |
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 $95.50 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $95.50 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $38.90 | $57.54 | $57.54 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 51st of 51
$138
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.