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 $512.86 Typical High $575.44 | Professional | None (both parts) | $478.63 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $363.08 | $371.54 | $371.54 |
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 $89.13 Median $144.54 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $89.13 | $144.54 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $660.69 | Facility | None | $588.84 | $602.56 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $398.11 | $436.52 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $660.69 | Professional | TC · Technical part | $281.84 | $331.13 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $316.23 | $407.38 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $239.88 | $323.59 | $537.03 |
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 $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $239.88 | $251.19 | $251.19 |
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 5.4 times more in Wyoming than in Texas. 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· 30th of 51
$513
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.