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 $446.68 Typical High $776.25 | Facility | None | $199.53 | $446.68 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $208.93 | $208.93 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $75.86 | $87.10 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $39.81 | $79.43 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Facility | None | $457.09 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $100.00 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $61.66 | $100.00 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $467.74 | Facility | None | $204.17 | $204.17 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $162.18 | $177.83 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $112.20 | $309.03 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $131.83 | $190.55 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $54.95 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $125.89 | $251.19 |
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 $104.71 Median $104.71 Typical High $138.04 | Professional | 52 · Reduced service | $104.71 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 53 · Discontinued | $41.69 | $41.69 | $54.95 |
Where Alabama sits
The same service costs 5.9 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· 39th of 51
$209
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.