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 $75.86 Median $75.86 Typical High $75.86 | Facility | TC · Technical part | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $54.95 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $5.89 | $54.95 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $3,388.44 | Facility | None | $141.25 | $141.25 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $302.00 | Professional | None (both parts) | $93.33 | $109.65 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $32.36 | Professional | 26 · Professional part | $10.00 | $10.96 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $97.72 | $269.15 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,548.82 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $35.48 | $64.57 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $8.13 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $27.54 | $56.23 | $141.25 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Alabama sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 1st of 51
$513
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.