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 Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $23.99 Median $165.96 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $23.99 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,047.13 | Facility | None | $398.11 | $398.11 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $794.33 | Professional | None (both parts) | $263.03 | $263.03 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $37.15 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $223.87 | $676.08 |
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 $151.36 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $151.36 | $223.87 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $120.23 | $190.55 | $354.81 |
3 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 Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 4th 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.