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 $338.84 Median $380.19 Typical High $380.19 | Facility | None | $338.84 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $199.53 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $70.79 Median $338.84 Typical High $407.38 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $70.79 | $338.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $1,000.00 | Facility | None | $257.04 | $269.15 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $269.15 | Professional | None (both parts) | $97.72 | $97.72 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $31.62 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $66.07 | $173.78 |
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 $169.82 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $169.82 | $223.87 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $56.23 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $181.97 | $346.74 |
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 $144.54 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $75.86 | $75.86 |
Where Alabama sits
The same service costs 9.1 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
$97.72
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.