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 $1,862.09 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,862.09 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,174.90 | $1,862.09 | $1,862.09 |
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 $389.05 Median $933.25 Typical High $1,513.56 | Professional | None (both parts) | $389.05 | $933.25 | $1,513.56 |
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 $1,318.26 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $1,905.46 |
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 $891.25 Median $1,174.90 Typical High $1,548.82 | Professional | None (both parts) | $891.25 | $1,174.90 | $1,548.82 |
7 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 26 · Professional part Typical Low $331.13 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $331.13 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $851.14 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $478.63 Typical High $776.25 | Professional | 26 · Professional part | $407.38 | $478.63 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,071.52 Typical High $1,318.26 | Professional | TC · Technical part | $912.01 | $1,071.52 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $331.13 Typical High $478.63 | Professional | 26 · Professional part | $245.47 | $331.13 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $630.96 | $794.33 | $1,071.52 |
Where Alabama sits
The same service costs 4.0 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
$1,230
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.