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 $446.68 Median $630.96 Typical High $776.25 | Facility | None | $446.68 | $630.96 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $275.42 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $79.43 Median $109.65 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $79.43 | $109.65 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Facility | None | $398.11 | $398.11 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $302.00 | $316.23 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $100.00 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $489.78 | Professional | TC · Technical part | $218.78 | $218.78 | $489.78 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $251.19 | $363.08 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $87.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $275.42 | $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 $138.04 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $72.44 | $72.44 |
Where Alabama sits
The same service costs 5.8 times more in Alaska 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· 37th of 51
$363
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.