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 $1,778.28 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $1,778.28 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $323.59 | $407.38 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,412.54 | $1,621.81 | $1,621.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $331.13 Median $1,348.96 Typical High $1,778.28 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $331.13 | $1,348.96 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,862.09 Typical High $2,398.83 | Professional | None (both parts) | $1,445.44 | $1,862.09 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $181.97 | $354.81 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,513.56 Typical High $1,949.84 | Professional | TC · Technical part | $1,288.25 | $1,513.56 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,737.80 Typical High $2,454.71 | Professional | None (both parts) | $1,348.96 | $1,737.80 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $338.84 Typical High $501.19 | Professional | 26 · Professional part | $263.03 | $338.84 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,380.38 Typical High $2,041.74 | Professional | TC · Technical part | $1,000.00 | $1,380.38 | $2,041.74 |
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 $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $870.96 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $354.81 | $407.38 | $407.38 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 29th of 51
$1,862
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.