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 $575.44 Median $1,258.93 Typical High $3,630.78 | Facility | None | $575.44 | $1,258.93 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $831.76 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $229.09 Typical High $234.42 | Professional | 26 · Professional part | $131.83 | $229.09 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $691.83 | $1,174.90 | $1,174.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $354.81 | Professional | 26 · Professional part | $123.03 | $162.18 | $354.81 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,388.44 | $3,467.37 | $3,467.37 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $128.82 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $128.82 | $707.95 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,584.89 | $1,862.09 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,071.52 Typical High $1,288.25 | Professional | None (both parts) | $776.25 | $1,071.52 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $407.38 | Professional | 26 · Professional part | $177.83 | $208.93 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,047.13 | Professional | TC · Technical part | $724.44 | $851.14 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $6,309.57 | Facility | None | $1,202.26 | $3,090.30 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | None (both parts) | $645.65 | $794.33 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $141.25 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $660.69 Typical High $870.96 | Professional | TC · Technical part | $549.54 | $660.69 | $870.96 |
1 more rate 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 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Where Alabama sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 49th of 51
$871
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.