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 $691.83 Median $691.83 Typical High $933.25 | Facility | None | $691.83 | $691.83 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $363.08 | $407.38 | $478.63 |
BCBS Alabama Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $398.11 Median $691.83 Typical High $691.83 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $398.11 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $1,949.84 | Facility | None | $489.78 | $512.86 | $1,949.84 |
United Setting Facility Modifier None Typical Low $218.78 Median $549.54 Typical High $602.56 | Facility | None | $218.78 | $549.54 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $257.04 | $331.13 | $363.08 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $239.88 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $95.50 | $141.25 | $141.25 |
Where Alabama sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 51st of 51
$63.10
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.