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 $245.47 Median $446.68 Typical High $776.25 | Facility | None | $245.47 | $446.68 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $275.42 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $117.49 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $239.88 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $208.93 | $208.93 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $102.33 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $123.03 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $91.20 | $123.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $467.74 | Facility | None | $380.19 | $380.19 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $281.84 | $309.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $208.93 | $575.44 |
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 $234.42 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $234.42 | $338.84 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $85.11 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $239.88 | $467.74 |
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 $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $72.44 | $72.44 |
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· 36th of 51
$363
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.