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 $234.42 Median $234.42 Typical High $234.42 | Facility | TC · Technical part | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $28.18 Median $169.82 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $28.18 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,047.13 | Facility | None | $398.11 | $398.11 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $794.33 | Professional | None (both parts) | $263.03 | $263.03 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $42.66 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $218.78 | $660.69 |
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 $151.36 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $151.36 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $38.02 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $194.98 | $346.74 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Alabama sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 4th 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.