How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $389Professionalmedian $302 · 10th to 90th $155 to $525
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 $302.00 Median $398.11 Typical High $954.99 | Facility | None | $302.00 | $398.11 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $302.00 | $302.00 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $100.00 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $204.17 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $131.83 | $147.91 | $213.80 |
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 $107.15 Median $151.36 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $107.15 | $151.36 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $630.96 | Facility | None | $316.23 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $229.09 | $245.47 | $602.56 |
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 $158.49 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $169.82 | $467.74 |
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 $186.21 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $186.21 | $257.04 | $575.44 |
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 $128.82 Median $177.83 Typical High $489.78 | Professional | TC · Technical part | $128.82 | $177.83 | $489.78 |
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 $151.36 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $60.26 | $67.61 |
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 7.1 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· 39th of 51
$302
VT $955UT $135
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.