How much rates vary
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 $288.40 Median $549.54 Typical High $776.25 | Facility | None | $288.40 | $549.54 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $281.84 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $239.88 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $66.07 | $107.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $120.23 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $87.10 | $120.23 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $478.63 | Facility | None | $467.74 | $467.74 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $323.59 | $363.08 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $104.71 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $263.03 | $512.86 |
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 $275.42 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $275.42 | $380.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $281.84 | $478.63 |
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 $141.25 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $74.13 | $74.13 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 50 · Both sides | $851.14 | $851.14 | $851.14 |
Where Alabama sits
The same service costs 6.2 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· 37th of 51
$372
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.