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 TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $162.18 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $147.91 | $181.97 | $181.97 |
BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $120.23 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $10.72 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,412.54 | Facility | None | $309.03 | $309.03 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $562.34 | Professional | None (both parts) | $186.21 | $186.21 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $51.29 | Professional | 26 · Professional part | $16.60 | $16.60 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $169.82 | $512.86 |
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 $58.88 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $58.88 | $162.18 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $10.72 | $14.45 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $45.71 | $144.54 | $269.15 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Where Alabama sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$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.