How much rates vary
Facilitymedian $661 · 10th to 90th $646 to $661Professionalmedian $575 · 10th to 90th $407 to $871
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 $501.19 Median $741.31 Typical High $1,000.00 | Facility | None | $501.19 | $741.31 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $660.69 | Professional | None (both parts) | $478.63 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 26 · Professional part | $141.25 | $158.49 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $416.87 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $75.86 | $107.15 |
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 $120.23 Median $234.42 Typical High $467.74 | Professional | 81 · Minimal assistant surgeon | $120.23 | $234.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $933.25 | Facility | None | $602.56 | $676.08 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $933.25 | Professional | None (both parts) | $446.68 | $489.78 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $120.23 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $316.23 | $363.08 | $758.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $562.34 | Facility | None | $407.38 | $416.87 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $1,071.52 | Professional | None (both parts) | $363.08 | $512.86 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $104.71 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $870.96 | Professional | TC · Technical part | $275.42 | $389.05 | $870.96 |
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 $269.15 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $114.82 | $114.82 |
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 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· 29th of 51
$575
WY $1,549UT $257
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.