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 $104.71 Median $104.71 Typical High $104.71 | Facility | TC · Technical part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $18.62 Median $77.62 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $18.62 | $77.62 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,047.13 | Facility | None | $169.82 | $169.82 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $446.68 | Professional | None (both parts) | $134.90 | $144.54 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $33.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $112.20 | $338.84 |
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 $83.18 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $83.18 | $112.20 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $25.70 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $85.11 | $177.83 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 4.6 times more in Alabama than in Texas. 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
$479
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.