How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $447Professionalmedian $427 · 10th to 90th $302 to $617
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 $707.95 Typical High $954.99 | Facility | None | $446.68 | $707.95 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $426.58 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $398.11 | Professional | TC · Technical part | $331.13 | $346.74 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $269.15 | $309.03 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $47.86 | $79.43 |
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 $74.13 Median $165.96 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $74.13 | $165.96 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $602.56 Typical High $630.96 | Facility | None | $549.54 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $338.84 | $380.19 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $302.00 | $549.54 |
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 $281.84 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $281.84 | $371.54 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $66.07 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $223.87 | $316.23 | $524.81 |
3 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 $213.80 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $85.11 | $89.13 | $89.13 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | 50 · Both sides | $549.54 | $562.34 | $562.34 |
Where Alabama sits
The same service costs 5.1 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· 41st of 51
$398
WY $1,202UT $234
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.