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 $295.12 Median $295.12 Typical High $295.12 | Facility | TC · Technical part | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $295.12 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $36.31 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $263.03 | $295.12 | $295.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $223.87 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $29.51 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $3,388.44 | Facility | None | $549.54 | $549.54 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $346.74 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $46.77 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $302.00 | $912.01 |
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 $194.98 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $194.98 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $38.02 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $251.19 | $467.74 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Alabama sits
The same service costs 3.7 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
$741
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.