How much rates vary
Facilitymedian $661 · 10th to 90th $646 to $708Professionalmedian $457 · 10th to 90th $324 to $646
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 $707.95 Typical High $1,318.26 | Facility | None | $323.59 | $707.95 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $457.09 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $338.84 | $338.84 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $660.69 | Facility | None | $645.65 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $218.78 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $102.33 | $218.78 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $602.56 Typical High $2,041.74 | Facility | None | $549.54 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $354.81 | $389.05 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $91.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $302.00 | $562.34 |
United Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $1,258.93 | Facility | None | $912.01 | $954.99 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $288.40 | $398.11 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $79.43 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $316.23 | $588.84 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 50 · Both sides | $977.24 | $977.24 | $977.24 |
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· 32nd of 51
$457
WY $1,259TX $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.