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 $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $58.88 | $97.72 |
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 $112.20 Median $1,230.27 Typical High $2,454.71 | Professional | 81 · Minimal assistant surgeon | $112.20 | $1,230.27 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,230.27 Typical High $1,412.54 | Professional | None (both parts) | $891.25 | $1,230.27 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $109.65 | $169.82 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,778.28 | $1,819.70 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,570.40 Typical High $3,715.35 | Professional | None (both parts) | $1,949.84 | $2,570.40 | $3,715.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $95.50 | $138.04 |
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 $1,071.52 Median $1,071.52 Typical High $1,122.02 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,454.71 Typical High $3,548.13 | Professional | TC · Technical part | $1,862.09 | $2,454.71 | $3,548.13 |
Where Alabama sits
The same service costs 20.0 times more in Nebraska 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· 35th 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.