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 $114.82 Median $114.82 Typical High $1,288.25 | Professional | None (both parts) | $114.82 | $114.82 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $100.00 | Professional | 26 · Professional part | $17.78 | $17.78 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
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 $15.85 Median $28.84 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $15.85 | $28.84 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $275.42 | $380.19 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $34.67 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $60.26 Typical High $169.82 | Professional | None (both parts) | $26.30 | $60.26 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $30.20 | $43.65 |
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 $97.72 Median $97.72 Typical High $1,202.26 | Professional | TC · Technical part | $97.72 | $97.72 | $1,202.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $75.86 | $109.65 | $147.91 |
Where Alabama sits
The same service costs 57.5 times more in Alabama than in New Mexico. 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· 1st 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.