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 $2,818.38 Median $2,818.38 Typical High $3,801.89 | Facility | None | $2,818.38 | $2,818.38 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $1,905.46 | $2,818.38 | $2,818.38 |
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 $1,513.56 Median $1,819.70 Typical High $1,819.70 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $1,513.56 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $7,762.47 | Facility | None | $1,995.26 | $2,089.30 | $7,762.47 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,187.76 Typical High $2,454.71 | Facility | None | $891.25 | $2,187.76 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,348.96 Typical High $1,479.11 | Professional | None (both parts) | $1,023.29 | $1,348.96 | $1,479.11 |
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | 26 · Professional part | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $954.99 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $380.19 | $562.34 | $562.34 |
Where Alabama sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 50th of 51
$1,023
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.