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 $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $41.69 Median $158.49 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $41.69 | $158.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,047.13 | Facility | None | $323.59 | $323.59 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $741.31 | Professional | None (both parts) | $239.88 | $239.88 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $64.57 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $177.83 | $537.03 |
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 $42.66 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $56.23 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $158.49 | $309.03 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
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 4.7 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· 3rd 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.