How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,047 to $4,266Professionalmedian $550 · 10th to 90th $324 to $1,047
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 $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,047.13 | $1,071.52 | $1,071.52 |
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 $295.12 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $295.12 | $446.68 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $645.65 | $1,047.13 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $5,128.61 | Facility | None | $1,096.48 | $2,454.71 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $660.69 | $1,023.29 |
12 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 $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $645.65 | $676.08 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $457.09 | Professional | 26 · Professional part | $281.84 | $331.13 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $707.95 Typical High $851.14 | Professional | TC · Technical part | $199.53 | $707.95 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $331.13 | Professional | 26 · Professional part | $173.78 | $234.42 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $446.68 | $691.83 |
Where Alabama sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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
$676
WI $2,630TX $603
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.