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 $467.74 Median $741.31 Typical High $1,000.00 | Facility | None | $467.74 | $741.31 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $436.52 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $389.05 | Professional | TC · Technical part | $331.13 | $354.81 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $63.10 | $85.11 |
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 $81.28 Median $199.53 Typical High $398.11 | Professional | 81 · Minimal assistant surgeon | $81.28 | $199.53 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Facility | None | $602.56 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $371.54 | $426.58 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $81.28 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $346.74 | $602.56 |
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 $316.23 Median $380.19 Typical High $691.83 | Professional | None (both parts) | $316.23 | $380.19 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $70.79 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $316.23 | $575.44 |
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 $218.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $87.10 | $93.33 | $93.33 |
Where Alabama sits
The same service costs 6.3 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· 38th of 51
$427
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.