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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $87.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $53.70 | $72.44 | $72.44 |
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 $60.26 Median $109.65 Typical High $169.82 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $60.26 | $109.65 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $60.26 Typical High $229.09 | Facility | None | $58.88 | $60.26 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $61.66 | $77.62 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $74.13 | Professional | 26 · Professional part | $21.88 | $28.84 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $48.98 | $97.72 |
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 $70.79 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $70.79 | $125.89 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $46.77 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $43.65 | $70.79 | $85.11 |
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 $43.65 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $23.44 | $23.44 |
Where Alabama sits
The same service costs 4.5 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
$70.79
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.