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 Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $138.04 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $18.20 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,047.13 | Facility | None | $309.03 | $309.03 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $562.34 | Professional | None (both parts) | $190.55 | $190.55 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $79.43 | Professional | 26 · Professional part | $26.30 | $26.30 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $165.96 | $489.78 |
United Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $74.13 | $177.83 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $24.55 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $53.70 | $151.36 | $251.19 |
3 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 Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Where Alabama sits
The same service costs 5.5 times more in Alaska than in Kentucky. 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· 3rd of 51
$562
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.