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 $478.63 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $478.63 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $371.54 | $426.58 | $426.58 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $660.69 | Facility | None | $645.65 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $165.96 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $85.11 | $165.96 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $691.83 Typical High $2,041.74 | Facility | None | $602.56 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $416.87 | $478.63 | $794.33 |
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 $323.59 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $323.59 | $380.19 | $676.08 |
United Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $1,258.93 | Facility | None | $912.01 | $954.99 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $354.81 | $457.09 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $85.11 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $380.19 | $630.96 |
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 $263.03 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $104.71 | $109.65 | $109.65 |
Where Alabama sits
The same service costs 5.5 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· 31st of 51
$550
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.