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 $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
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 $13.18 Median $23.99 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $13.18 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $147.91 | Professional | None (both parts) | $48.98 | $48.98 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $27.54 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $21.38 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $223.87 | Professional | None (both parts) | $32.36 | $48.98 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $23.44 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.50 Typical High $199.53 | Professional | TC · Technical part | $14.13 | $19.50 | $199.53 |
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 $4.68 Median $4.68 Typical High $4.68 | Facility | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Alabama sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 1st of 51
$251
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.