How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $447Professionalmedian $372 · 10th to 90th $209 to $562
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 $331.13 Median $501.19 Typical High $1,000.00 | Facility | None | $331.13 | $501.19 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $331.13 | $331.13 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $100.00 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $234.42 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $85.11 | $144.54 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $47.86 | $79.43 |
BCBS Alabama Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $162.18 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $74.13 | $162.18 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $630.96 | Facility | None | $446.68 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $323.59 | $380.19 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $302.00 | $489.78 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $208.93 | $323.59 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $489.78 | Professional | TC · Technical part | $154.88 | $239.88 | $489.78 |
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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $74.13 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | 50 · Both sides | $549.54 | $562.34 | $562.34 |
Where Alabama sits
The same service costs 5.5 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· 32nd of 51
$372
WY $891UT $162
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.