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 $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $51.29 Median $158.49 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $51.29 | $158.49 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,412.54 | Facility | None | $331.13 | $331.13 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $257.04 | $257.04 | $794.33 |
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 $177.83 Median $177.83 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $177.83 | $549.54 |
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 $173.78 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $173.78 | $229.09 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $162.18 | $338.84 |
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 $37.15 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
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· 2nd of 51
$794
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.