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 $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
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 $51.29 Median $199.53 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $51.29 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $1,047.13 | Facility | None | $426.58 | $426.58 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $954.99 | Professional | None (both parts) | $309.03 | $309.03 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $79.43 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $229.09 | $707.95 |
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 $208.93 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $208.93 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $204.17 | $371.54 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Where Alabama sits
The same service costs 5.1 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· 5th 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.