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 $154.88 Median $223.87 Typical High $223.87 | Facility | None | $154.88 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $165.96 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $75.86 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $147.91 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
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 $87.10 Median $131.83 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $87.10 | $131.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $1,412.54 | Facility | None | $223.87 | $223.87 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $575.44 | Professional | None (both parts) | $186.21 | $186.21 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $66.07 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $120.23 | $371.54 |
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 $128.82 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $128.82 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $112.20 | $190.55 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Alabama sits
The same service costs 4.4 times more in Alaska 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· 10th of 51
$331
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.