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 $1,230.27 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,412.54 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $52.48 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,089.30 |
BCBS Alabama 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 Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $1,122.02 Typical High $2,454.71 | Professional | 81 · Minimal assistant surgeon | $85.11 | $1,122.02 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $831.76 | $1,148.15 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $102.33 | $158.49 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $3,548.13 | Facility | None | $2,570.40 | $2,630.27 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,089.30 Typical High $3,019.95 | Professional | None (both parts) | $1,659.59 | $2,089.30 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $89.13 | $131.83 |
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 $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | TC · Technical part | $1,288.25 | $1,288.25 | $1,659.59 |
United Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,995.26 Typical High $2,884.03 | Professional | TC · Technical part | $1,584.89 | $1,995.26 | $2,884.03 |
Where Alabama sits
The same service costs 22.9 times more in Connecticut than in Washington. 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· 39th 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.