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 $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $302.00 | Professional | None (both parts) | $229.09 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $199.53 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
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 $75.86 Median $173.78 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $75.86 | $173.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,047.13 | Facility | None | $346.74 | $346.74 | $1,047.13 |
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 $53.70 Median $53.70 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $53.70 | $162.18 |
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 $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 $165.96 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $165.96 | $213.80 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $46.77 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $165.96 | $302.00 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 3.5 times more in Wisconsin 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· 5th of 51
$457
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.