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 TC · Technical part Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | TC · Technical part | $114.82 | $114.82 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $173.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $128.82 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
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 $81.28 Median $125.89 Typical High $213.80 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $81.28 | $125.89 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $363.08 | Facility | None | $91.20 | $93.33 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $331.13 | Professional | None (both parts) | $95.50 | $95.50 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $60.26 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $37.15 | $158.49 |
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 $134.90 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $134.90 | $213.80 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $134.90 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $81.28 | $112.20 |
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 $81.28 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $47.86 | $47.86 |
Where Alabama sits
The same service costs 6.5 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
$95.50
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.