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 TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | TC · Technical part | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
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 $23.99 Median $154.88 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $23.99 | $154.88 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,047.13 | Facility | None | $363.08 | $363.08 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $707.95 | Professional | None (both parts) | $234.42 | $234.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $36.31 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $602.56 | Professional | TC · Technical part | $199.53 | $199.53 | $602.56 |
United Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $102.33 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $74.13 | $169.82 | $309.03 |
2 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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 3rd of 51
$562
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.