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 $199.53 Median $199.53 Typical High $269.15 | Facility | None | $199.53 | $199.53 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $134.90 | $199.53 | $199.53 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $109.65 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $549.54 | Facility | None | $141.25 | $147.91 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $173.78 | Facility | None | $63.10 | $158.49 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $74.13 | $95.50 | $104.71 |
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 Professional Modifier 26 · Professional part Typical Low $147.91 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $147.91 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $67.61 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $39.81 | $39.81 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 20th of 51
$174
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.