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 $1,096.48 Median $1,819.70 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,819.70 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $891.25 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $234.42 | $407.38 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
BCBS 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 Setting Professional Modifier None (both parts) Typical Low $309.03 Median $741.31 Typical High $1,202.26 | Professional | None (both parts) | $309.03 | $741.31 | $1,202.26 |
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 $1,023.29 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $1,023.29 | $1,202.26 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | 26 · Professional part | $309.03 | $363.08 | $436.52 |
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 $691.83 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $691.83 | $891.25 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $251.19 | $363.08 |
4 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 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $676.08 | $1,071.52 | $1,071.52 |
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 Professional Modifier TC · Technical part Typical Low $512.86 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $512.86 | $616.60 | $831.76 |
Where Alabama sits
The same service costs 4.2 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· 48th of 51
$977
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.