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 $776.25 Median $1,737.80 Typical High $2,630.27 | Facility | None | $776.25 | $1,737.80 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $42.66 | $44.67 | $44.67 |
BCBS Alabama Setting Facility Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Facility | None | $23,988.33 | $23,988.33 | $23,988.33 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $89.13 Median $1,862.09 Typical High $2,818.38 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $89.13 | $1,862.09 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $1,122.02 | Professional | None (both parts) | $190.55 | $223.87 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $239.88 | Professional | 26 · Professional part | $138.04 | $169.82 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $741.31 | Professional | TC · Technical part | $43.65 | $53.70 | $741.31 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $5,495.41 | Facility | None | $100.00 | $363.08 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,905.46 Typical High $2,754.23 | Professional | None (both parts) | $120.23 | $1,905.46 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $123.03 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $1,778.28 Typical High $2,570.40 | Professional | TC · Technical part | $29.51 | $1,778.28 | $2,570.40 |
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 18.6 times more in Tennessee than in South Carolina. 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· 3rd of 51
$891
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.