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 $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $85.11 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $24.55 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $95.50 | $95.50 |
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 $33.11 Median $69.18 Typical High $102.33 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $33.11 | $69.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $302.00 | Facility | None | $74.13 | $77.62 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $87.10 | Professional | None (both parts) | $33.88 | $33.88 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $43.65 | Professional | 26 · Professional part | $12.02 | $12.02 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $21.38 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $58.88 | $69.18 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $21.88 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $46.77 | $83.18 |
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 $41.69 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $25.70 | $25.70 |
Where Alabama sits
The same service costs 4.6 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.