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 $173.78 Median $173.78 Typical High $173.78 | Facility | TC · Technical part | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
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 $16.22 Median $120.23 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $16.22 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $1,047.13 | Facility | None | $288.40 | $288.40 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $162.18 | $186.21 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $25.12 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $158.49 | $389.05 |
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 $81.28 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $81.28 | $158.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $21.88 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $63.10 | $138.04 | $204.17 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Where Alabama sits
The same service costs 4.7 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.