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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $69.18 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $107.15 | $107.15 |
BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
BCBS Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $45.71 Median $64.57 Typical High $112.20 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $45.71 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $338.84 | Facility | None | $56.23 | $87.10 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | None (both parts) | $50.12 | $50.12 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $57.54 | Professional | 26 · Professional part | $18.20 | $20.89 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $29.51 | $61.66 |
United Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $275.42 | Facility | None | $199.53 | $204.17 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $70.79 | $77.62 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $37.15 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $52.48 | $91.20 |
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 $47.86 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $47.86 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $19.05 | $28.84 | $28.84 |
Where Alabama sits
The same service costs 5.2 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
$58.88
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.