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 $426.58 Median $478.63 Typical High $478.63 | Facility | None | $426.58 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $288.40 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $407.38 | $407.38 |
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 $134.90 Median $251.19 Typical High $398.11 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $134.90 | $251.19 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $331.13 Typical High $1,288.25 | Facility | None | $269.15 | $331.13 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $691.83 | Professional | None (both parts) | $154.88 | $154.88 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $37.15 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $120.23 | $602.56 |
United Setting Facility Modifier None Typical Low $933.25 Median $977.24 Typical High $1,288.25 | Facility | None | $933.25 | $977.24 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $213.80 | $309.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $67.61 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $239.88 | $416.87 |
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 $151.36 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $151.36 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $97.72 | $97.72 |
Where Alabama sits
The same service costs 11.5 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
$155
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.