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 None Typical Low $199.53 Median $501.19 Typical High $776.25 | Facility | None | $199.53 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $87.10 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $131.83 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $107.15 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $70.79 | $107.15 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $316.23 | Facility | None | $275.42 | $275.42 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $208.93 | $245.47 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $72.44 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $169.82 | $302.00 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $162.18 | $190.55 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $134.90 | $263.03 |
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 $109.65 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $43.65 | $54.95 |
Where Alabama sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 35th of 51
$219
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.