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 $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $22.91 | $33.88 | $33.88 |
BCBS Alabama Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $19.05 Median $30.20 Typical High $30.20 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $19.05 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $25.12 Typical High $95.50 | Facility | None | $23.44 | $25.12 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
United Setting Facility Modifier None Typical Low $10.72 Median $26.92 Typical High $29.51 | Facility | None | $10.72 | $26.92 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $17.78 Typical High $19.95 | Professional | None (both parts) | $12.30 | $17.78 | $19.95 |
1 more rate 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 $28.18 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $33.88 |
Where Alabama sits
The same service costs 7.6 times more in Texas 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· 49th of 51
$17.78
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.