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 $1,000.00 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,412.54 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None (both parts) | $851.14 | $851.14 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $75.86 |
BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $44.67 Typical High $1,584.89 | Professional | 81 · Minimal assistant surgeon | $7.41 | $44.67 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $1,122.02 | Professional | None (both parts) | $707.95 | $977.24 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $89.13 | $138.04 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,737.80 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $1,071.52 Typical High $1,621.81 | Professional | None (both parts) | $77.62 | $1,071.52 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $77.62 | $112.20 |
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 TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | TC · Technical part | $831.76 | $831.76 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $1,148.15 Typical High $1,584.89 | Professional | TC · Technical part | $18.62 | $1,148.15 | $1,584.89 |
Where Alabama sits
The same service costs 14.1 times more in Nebraska than in South Carolina. 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
$1,905
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.