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 $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
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 $74.13 Median $239.88 Typical High $371.54 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $74.13 | $239.88 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $10,232.93 | Facility | None | $501.19 | $1,000.00 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $575.44 | Professional | None (both parts) | $398.11 | $467.74 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $457.09 | Professional | 26 · Professional part | $316.23 | $371.54 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $100.00 | $125.89 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $4,168.69 Typical High $13,803.84 | Facility | None | $1,737.80 | $4,168.69 | $13,803.84 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $257.04 | $354.81 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $257.04 Typical High $371.54 | Professional | 26 · Professional part | $190.55 | $257.04 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $85.11 | $131.83 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Where Alabama sits
The same service costs 9.5 times more in Louisiana than in New York. 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· 6th of 51
$1,514
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.