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 $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
BCBS Alabama Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $27.54 | $38.02 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $457.09 | Facility | None | $234.42 | $407.38 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $363.08 | Professional | None (both parts) | $97.72 | $144.54 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $93.33 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $33.88 | $50.12 | $125.89 |
United Setting Facility Modifier None Typical Low $251.19 Median $851.14 Typical High $1,698.24 | Facility | None | $251.19 | $851.14 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $64.57 | $85.11 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $51.29 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $34.67 | $51.29 |
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 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Where Alabama sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 51st of 51
$63.10
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.