How much rates vary
Facilitymedian $170 · 10th to 90th $170 to $186Professionalmedian $186 · 10th to 90th $138 to $302
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 $173.78 Median $199.53 Typical High $776.25 | Facility | None | $173.78 | $199.53 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $67.61 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $112.20 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $100.00 | $100.00 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $35.48 | $60.26 |
BCBS Alabama Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $79.43 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $54.95 | $79.43 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Facility | None | $239.88 | $239.88 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $158.49 | $186.21 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $56.23 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $131.83 | $239.88 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $125.89 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $48.98 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $123.03 | $218.78 |
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 $89.13 Median $89.13 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $35.48 | $48.98 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $251.19 Median $257.04 Typical High $257.04 | Facility | 50 · Both sides | $251.19 | $257.04 | $257.04 |
Where Alabama sits
The same service costs 5.8 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
$178
VT $603UT $105
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.