How much rates vary
Facilitymedian $468 · 10th to 90th $457 to $468Professionalmedian $229 · 10th to 90th $178 to $372
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 $199.53 Median $501.19 Typical High $776.25 | Facility | None | $199.53 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $229.09 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $77.62 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $151.36 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $40.74 | $69.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Facility | None | $457.09 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $85.11 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $63.10 | $85.11 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $467.74 | Facility | None | $309.03 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $199.53 | $234.42 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $169.82 | $302.00 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $158.49 | $218.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $56.23 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $154.88 | $263.03 |
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 $114.82 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 50 · Both sides | $691.83 | $691.83 | $691.83 |
Where Alabama sits
The same service costs 5.4 times more in Alaska 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· 38th of 51
$234
AK $676UT $126
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.