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 $346.74 Median $346.74 Typical High $6,456.54 | Facility | None | $346.74 | $346.74 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $302.00 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $234.42 | Professional | TC · Technical part | $204.17 | $218.78 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $112.20 | Professional | 26 · Professional part | $19.95 | $19.95 | $112.20 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,630.27 | $2,691.53 | $2,691.53 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $70.79 Median $177.83 Typical High $316.23 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $70.79 | $177.83 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $323.59 | $389.05 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $138.04 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $245.47 | $316.23 |
United Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $1,380.38 | Facility | None | $100.00 | $323.59 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $204.17 | $263.03 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $81.28 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $190.55 | $251.19 |
2 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 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Alabama sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 13th of 51
$389
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.