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 $549.54 Typical High $776.25 | Facility | None | $199.53 | $549.54 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $251.19 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $165.96 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
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 $69.18 Median $138.04 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $69.18 | $138.04 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $467.74 | Facility | None | $263.03 | $263.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $199.53 | $213.80 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $70.79 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $144.54 | $363.08 |
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 $158.49 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $158.49 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $63.10 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $158.49 | $309.03 |
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 $125.89 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $50.12 | $54.95 |
Where Alabama sits
The same service costs 5.1 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· 37th of 51
$251
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.