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 $1,862.09 Typical High $3,630.78 | Facility | None | $954.99 | $1,862.09 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $1,148.15 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $575.44 Typical High $602.56 | Professional | 26 · Professional part | $323.59 | $575.44 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,258.93 Typical High $1,412.54 | Professional | TC · Technical part | $812.83 | $1,258.93 | $1,412.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 26 · Professional part | $275.42 | $275.42 | $316.23 |
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 $436.52 Median $891.25 Typical High $1,949.84 | Professional | None (both parts) | $436.52 | $891.25 | $1,949.84 |
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 $1,380.38 Median $1,621.81 Typical High $2,089.30 | Professional | None (both parts) | $1,380.38 | $1,621.81 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $501.19 Typical High $776.25 | Professional | 26 · Professional part | $426.58 | $501.19 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,122.02 Typical High $1,380.38 | Professional | TC · Technical part | $954.99 | $1,122.02 | $1,380.38 |
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 $870.96 Median $1,202.26 Typical High $1,621.81 | Professional | None (both parts) | $870.96 | $1,202.26 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $346.74 Typical High $501.19 | Professional | 26 · Professional part | $263.03 | $346.74 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $616.60 | $812.83 | $1,122.02 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,380.38 |
Where Alabama sits
The same service costs 3.8 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· 41st of 51
$1,380
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.