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 $588.84 Median $588.84 Typical High $776.25 | Facility | None | $588.84 | $588.84 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $309.03 | $363.08 | $436.52 |
BCBS Alabama Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $114.82 Median $131.83 Typical High $331.13 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $114.82 | $131.83 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $426.58 Typical High $1,621.81 | Facility | None | $416.87 | $426.58 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $588.84 | $588.84 | $724.44 |
United Setting Facility Modifier None Typical Low $181.97 Median $457.09 Typical High $512.86 | Facility | None | $181.97 | $457.09 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $213.80 | $257.04 | $309.03 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $83.18 | $117.49 | $117.49 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Mississippi. 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· 9th of 51
$589
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.