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 $288.40 Median $426.58 Typical High $954.99 | Facility | None | $288.40 | $426.58 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $288.40 | $288.40 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $109.65 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $177.83 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $134.90 | $138.04 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $52.48 | $87.10 |
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 $95.50 Median $162.18 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $95.50 | $162.18 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $602.56 Typical High $630.96 | Facility | None | $281.84 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $602.56 | Professional | None (both parts) | $218.78 | $234.42 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $83.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $426.58 | Professional | TC · Technical part | $141.25 | $147.91 | $426.58 |
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 $177.83 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $177.83 | $245.47 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $72.44 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $512.86 | Professional | TC · Technical part | $114.82 | $158.49 | $512.86 |
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 $144.54 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $57.54 | $64.57 |
Where Alabama sits
The same service costs 24.0 times more in Vermont 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· 37th of 51
$288
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.