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 $165.96 Median $165.96 Typical High $165.96 | Facility | TC · Technical part | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $141.25 | $165.96 | $165.96 |
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 $26.92 Median $125.89 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $26.92 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,047.13 | Facility | None | $281.84 | $281.84 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $588.84 | Professional | None (both parts) | $194.98 | $194.98 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $42.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $151.36 | $457.09 |
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 $97.72 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $97.72 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $134.90 | $239.88 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Where Alabama sits
The same service costs 3.8 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· 2nd of 51
$550
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.