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 Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $173.78 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $70.79 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $93.33 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
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 $53.70 Median $125.89 Typical High $199.53 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $53.70 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $186.21 | $229.09 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $112.20 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $120.23 | $154.88 |
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 $117.49 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $117.49 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $104.71 | $162.18 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Where Alabama sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 12th of 51
$234
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.