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 $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $977.24 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $794.33 | $891.25 | $891.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $138.04 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $138.04 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,548.82 | Facility | None | $776.25 | $1,380.38 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,737.80 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $194.98 | $229.09 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $851.14 Typical High $1,513.56 | Professional | TC · Technical part | $741.31 | $851.14 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,380.38 | Facility | None | $1,000.00 | $1,047.13 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,230.27 Typical High $1,949.84 | Professional | None (both parts) | $331.13 | $1,230.27 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $165.96 | $218.78 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $1,000.00 Typical High $1,698.24 | Professional | TC · Technical part | $120.23 | $1,000.00 | $1,698.24 |
4 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 $489.78 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $114.82 | $114.82 |
Where Alabama sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 47th of 51
$363
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.