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 Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $51.29 | $69.18 | $69.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $53.70 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $26.92 | $53.70 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $588.84 | Facility | None | $194.98 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $67.61 | $85.11 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $34.67 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $50.12 | $93.33 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $61.66 | $83.18 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $26.92 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $54.95 | $79.43 |
3 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 $37.15 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $15.14 | $20.89 | $20.89 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 50 · Both sides | $263.03 | $263.03 | $263.03 |
Where Alabama sits
The same service costs 3.7 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· 30th of 51
$100
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.