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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
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 $17.38 Median $134.90 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $17.38 | $134.90 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,047.13 | Facility | None | $331.13 | $331.13 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $208.93 | $208.93 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $81.28 | Professional | 26 · Professional part | $26.92 | $26.92 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $181.97 | $549.54 |
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 $104.71 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $104.71 | $181.97 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $23.44 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $158.49 | $281.84 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Alabama sits
The same service costs 4.6 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
$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.