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 $501.19 Median $758.58 Typical High $1,000.00 | Facility | None | $501.19 | $758.58 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $338.84 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $239.88 | $239.88 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
BCBS Alabama Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $169.82 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $107.15 | $169.82 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $630.96 | Facility | None | $380.19 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $316.23 | $371.54 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $295.12 | $489.78 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $213.80 | $323.59 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $64.57 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $234.42 | $489.78 |
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 $169.82 Median $169.82 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $67.61 | $75.86 |
Where Alabama sits
The same service costs 5.8 times more in Wyoming 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
$372
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.