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 $257.04 Median $371.54 Typical High $371.54 | Facility | None | $257.04 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $295.12 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $323.59 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $27.54 | $46.77 |
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 $61.66 Median $257.04 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $61.66 | $257.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $1,047.13 | Facility | None | $575.44 | $575.44 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $309.03 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $43.65 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $954.99 | Professional | TC · Technical part | $263.03 | $263.03 | $954.99 |
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 $302.00 Typical High $562.34 | Professional | None (both parts) | $151.36 | $302.00 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $38.02 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $117.49 | $269.15 | $501.19 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Where Alabama sits
The same service costs 3.5 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· 9th 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.