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 $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
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 $75.86 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $13.18 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,047.13 | Facility | None | $169.82 | $169.82 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $354.81 | Professional | None (both parts) | $114.82 | $114.82 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $61.66 | Professional | 26 · Professional part | $20.42 | $20.42 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $95.50 | $288.40 |
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 $67.61 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $67.61 | $100.00 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $17.78 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $83.18 | $151.36 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Where Alabama sits
The same service costs 5.5 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
$479
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.