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 TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
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 $32.36 Median $141.25 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $32.36 | $141.25 | $194.98 |
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 $194.98 Median $218.78 Typical High $549.54 | Professional | None (both parts) | $194.98 | $218.78 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $50.12 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $416.87 | Professional | TC · Technical part | $144.54 | $169.82 | $416.87 |
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 $144.54 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $144.54 | $190.55 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $43.65 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $147.91 | $213.80 |
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 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Where Alabama sits
The same service costs 5.0 times more in Alaska than in Texas. 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
$550
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.