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 $851.14 Median $851.14 Typical High $1,949.84 | Professional | None (both parts) | $851.14 | $851.14 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $50.12 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,513.56 | Professional | TC · Technical part | $831.76 | $831.76 | $1,513.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
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 $95.50 Median $660.69 Typical High $1,584.89 | Professional | 81 · Minimal assistant surgeon | $95.50 | $660.69 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $3,801.89 | Facility | None | $851.14 | $851.14 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $1,659.59 | Professional | None (both parts) | $501.19 | $588.84 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $288.40 | Professional | 26 · Professional part | $91.20 | $102.33 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $489.78 Typical High $1,348.96 | Professional | TC · Technical part | $416.87 | $489.78 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,737.80 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,380.38 Typical High $1,819.70 | Professional | None (both parts) | $1,071.52 | $1,380.38 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,288.25 Typical High $1,659.59 | Professional | TC · Technical part | $1,000.00 | $1,288.25 | $1,659.59 |
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 $426.58 Median $426.58 Typical High $645.65 | Professional | 52 · Reduced service | $426.58 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | 53 · Discontinued | $169.82 | $169.82 | $257.04 |
Where Alabama sits
The same service costs 15.1 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· 11th 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.