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 $407.38 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $407.38 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 26 · Professional part | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | TC · Technical part | $275.42 | $275.42 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
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 $112.20 Median $162.18 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $112.20 | $162.18 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $933.25 | Facility | None | $436.52 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $302.00 | $338.84 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $100.00 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $218.78 | $234.42 | $537.03 |
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 $251.19 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $251.19 | $354.81 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $87.10 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $245.47 | $588.84 |
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 $204.17 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $81.28 | $85.11 |
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
$407
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.