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 $87.10 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $87.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.51 | $10.47 | $10.47 |
BCBS Alabama Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 32 · Mandated service | $75.86 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $794.33 | Facility | None | $389.05 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $79.43 | $81.28 | $141.25 |
United Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $602.56 | Facility | None | $436.52 | $446.68 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $72.44 | $95.50 | $128.82 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $91.20 | $138.04 |
Where Alabama sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 24th of 51
$105
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.