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 $851.14 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $851.14 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $676.08 | $776.25 | $776.25 |
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 $74.13 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $74.13 | $257.04 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $977.24 | Facility | None | $676.08 | $851.14 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $933.25 Typical High $1,174.90 | Professional | None (both parts) | $831.76 | $933.25 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $251.19 | Professional | 26 · Professional part | $169.82 | $199.53 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $933.25 | Professional | TC · Technical part | $630.96 | $741.31 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,174.90 Typical High $1,621.81 | Professional | None (both parts) | $575.44 | $1,174.90 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $190.55 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $371.54 | $1,000.00 | $1,380.38 |
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 $426.58 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $426.58 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $169.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $85.11 | $97.72 | $97.72 |
Where Alabama sits
The same service costs 9.1 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
$309
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.