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 $95.50 Median $109.65 Typical High $109.65 | Facility | None | $95.50 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $61.66 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $27.54 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $100.00 | Professional | None (both parts) | $48.98 | $48.98 | $100.00 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $28.84 Median $67.61 Typical High $97.72 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $28.84 | $67.61 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $263.03 | Facility | None | $66.07 | $69.18 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $112.20 | Professional | None (both parts) | $44.67 | $44.67 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $44.67 | Professional | 26 · Professional part | $12.30 | $13.49 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $30.90 | $79.43 |
United Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $83.18 | Facility | None | $60.26 | $63.10 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $58.88 | $64.57 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $28.18 | Professional | 26 · Professional part | $16.22 | $23.99 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $47.86 | $79.43 |
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 $37.15 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $37.15 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $21.88 | $21.88 |
Where Alabama sits
The same service costs 5.5 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
$48.98
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.