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 $724.44 Typical High $954.99 | Facility | None | $501.19 | $724.44 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $478.63 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $151.36 | Professional | 26 · Professional part | $125.89 | $131.83 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $338.84 | $380.19 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $63.10 | $107.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $234.42 Typical High $478.63 | Professional | 81 · Minimal assistant surgeon | $141.25 | $234.42 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $933.25 | Facility | None | $602.56 | $758.58 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $512.86 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $100.00 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $524.81 Typical High $912.01 | Professional | TC · Technical part | $389.05 | $524.81 | $912.01 |
United Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $562.34 | Facility | None | $407.38 | $416.87 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $489.78 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $389.05 Typical High $933.25 | Professional | TC · Technical part | $245.47 | $389.05 | $933.25 |
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 $239.88 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $239.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $95.50 | $102.33 | $102.33 |
Where Alabama sits
The same service costs 5.6 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· 23rd of 51
$617
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.