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 $758.58 Median $758.58 Typical High $1,288.25 | Professional | None (both parts) | $758.58 | $758.58 | $1,288.25 |
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 $85.11 Median $741.31 Typical High $1,479.11 | Professional | 81 · Minimal assistant surgeon | $85.11 | $741.31 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $3,388.44 | Facility | None | $630.96 | $630.96 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $1,230.27 | Professional | None (both parts) | $389.05 | $446.68 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,548.82 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,288.25 Typical High $2,041.74 | Professional | None (both parts) | $954.99 | $1,288.25 | $2,041.74 |
8 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 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $44.67 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $630.96 | Professional | 52 · Reduced service | $380.19 | $380.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | 53 · Discontinued | $151.36 | $151.36 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $741.31 | $741.31 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $81.28 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $1,000.00 | Professional | TC · Technical part | $309.03 | $363.08 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $74.13 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,202.26 Typical High $1,949.84 | Professional | TC · Technical part | $891.25 | $1,202.26 | $1,949.84 |
Where Alabama sits
The same service costs 4.4 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· 10th 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.