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 $954.99 Median $1,698.24 Typical High $3,630.78 | Facility | None | $954.99 | $1,698.24 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,698.24 Typical High $1,819.70 | Professional | None (both parts) | $1,071.52 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $512.86 Typical High $524.81 | Professional | 26 · Professional part | $288.40 | $512.86 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,202.26 Typical High $1,288.25 | Professional | TC · Technical part | $758.58 | $1,202.26 | $1,288.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $263.03 Typical High $371.54 | Professional | 26 · Professional part | $245.47 | $263.03 | $371.54 |
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 $380.19 Median $851.14 Typical High $1,584.89 | Professional | None (both parts) | $380.19 | $851.14 | $1,584.89 |
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 $1,258.93 Median $1,479.11 Typical High $1,819.70 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $446.68 Typical High $630.96 | Professional | 26 · Professional part | $380.19 | $446.68 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $1,258.93 | Professional | TC · Technical part | $870.96 | $1,023.29 | $1,258.93 |
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 $812.83 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $812.83 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $309.03 Typical High $446.68 | Professional | 26 · Professional part | $229.09 | $309.03 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $741.31 Typical High $1,023.29 | Professional | TC · Technical part | $575.44 | $741.31 | $1,023.29 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Where Alabama sits
The same service costs 3.9 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· 46th of 51
$1,202
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.