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 $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $158.49 Typical High $218.78 | Professional | 81 · Minimal assistant surgeon | $32.36 | $158.49 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,412.54 | Facility | None | $354.81 | $354.81 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $245.47 | $245.47 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $51.29 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $194.98 | $588.84 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $162.18 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $162.18 | $302.00 |
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 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Where Alabama sits
The same service costs 4.6 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· 2nd of 51
$741
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.