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 $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $61.66 | $61.66 | $100.00 |
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 $120.23 Median $1,230.27 Typical High $2,454.71 | Professional | 81 · Minimal assistant surgeon | $120.23 | $1,230.27 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,348.96 Typical High $1,548.82 | Professional | None (both parts) | $977.24 | $1,348.96 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $120.23 | $186.21 |
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 $1,949.84 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 $79.43 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $104.71 | $151.36 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $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 20.9 times more in Connecticut 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· 36th 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.