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 $501.19 Median $758.58 Typical High $1,000.00 | Facility | None | $501.19 | $758.58 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $389.05 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 26 · Professional part | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $275.42 | $275.42 | $323.59 |
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 $79.43 Median $117.49 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $79.43 | $117.49 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $933.25 | Facility | None | $478.63 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $354.81 | $416.87 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $91.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $331.13 | $562.34 |
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 $245.47 Median $380.19 Typical High $691.83 | Professional | None (both parts) | $245.47 | $380.19 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $79.43 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $269.15 | $588.84 |
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 $194.98 Median $194.98 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $77.62 | $85.11 |
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 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· 34th of 51
$417
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.