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 $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
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 $25.70 Median $144.54 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $25.70 | $144.54 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,047.13 | Facility | None | $338.84 | $338.84 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $676.08 | Professional | None (both parts) | $223.87 | $223.87 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $39.81 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $186.21 | $562.34 |
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 $123.03 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $123.03 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $162.18 | $288.40 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Where Alabama sits
The same service costs 4.6 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· 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.