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 $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $14.45 Median $70.79 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $14.45 | $70.79 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $1,047.13 | Facility | None | $154.88 | $154.88 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $323.59 | Professional | None (both parts) | $104.71 | $104.71 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $67.61 | Professional | 26 · Professional part | $22.91 | $22.91 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $83.18 | $251.19 |
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 $74.13 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $74.13 | $97.72 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $19.95 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $77.62 | $151.36 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Where Alabama sits
The same service costs 5.0 times more in Alabama than in New York. 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.