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 $323.59 Median $501.19 Typical High $954.99 | Facility | None | $323.59 | $501.19 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $338.84 | $338.84 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $234.42 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $204.17 | $346.74 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $51.29 | $63.10 |
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 $154.88 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $95.50 | $154.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $630.96 | Facility | None | $457.09 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $331.13 | $389.05 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $81.28 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $309.03 | $501.19 |
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 $213.80 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $213.80 | $331.13 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $70.79 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $489.78 | Professional | TC · Technical part | $154.88 | $239.88 | $489.78 |
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 $169.82 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $67.61 | $77.62 |
Where Alabama sits
The same service costs 6.0 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· 32nd of 51
$372
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.