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 $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $21.38 Median $141.25 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $21.38 | $141.25 | $190.55 |
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 $245.47 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $245.47 | $269.15 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $38.90 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $691.83 | Professional | TC · Technical part | $213.80 | $229.09 | $691.83 |
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 $147.91 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $147.91 | $190.55 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $28.84 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $162.18 | $354.81 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Where Alabama sits
The same service costs 4.4 times more in Alaska 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· 3rd of 51
$562
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.