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 $269.15 Median $389.05 Typical High $707.95 | Facility | None | $269.15 | $389.05 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $309.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $263.03 | $323.59 | $323.59 |
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 $70.79 Median $269.15 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $70.79 | $269.15 | $371.54 |
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 $371.54 Median $371.54 Typical High $1,122.02 | Professional | None (both parts) | $371.54 | $371.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $56.23 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $316.23 | $316.23 | $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 $177.83 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $177.83 | $323.59 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $269.15 | $489.78 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
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· 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.