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 $125.89 Median $954.99 Typical High $2,398.83 | Facility | None | $125.89 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $125.89 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $95.50 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $29.51 | $29.51 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $63.10 | $72.44 |
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 $63.10 Median $117.49 Typical High $257.04 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $63.10 | $117.49 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $257.04 | $302.00 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $186.21 | $229.09 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $58.88 | $72.44 | $93.33 |
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 $213.80 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $213.80 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $165.96 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $120.23 | $316.23 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Alabama sits
The same service costs 4.8 times more in Nebraska 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· 18th of 51
$339
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.