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 $275.42 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $275.42 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $109.65 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $194.98 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
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 $77.62 Median $107.15 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $77.62 | $107.15 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $467.74 | Facility | None | $302.00 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $245.47 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $208.93 | $371.54 |
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 $199.53 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $199.53 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $77.62 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $186.21 | $316.23 |
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 $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $60.26 | $60.26 |
Where Alabama sits
The same service costs 6.3 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· 36th of 51
$302
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.