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 $831.76 Median $831.76 Typical High $1,122.02 | Facility | None | $831.76 | $831.76 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $616.60 | $831.76 | $831.76 |
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 $446.68 Median $537.03 Typical High $537.03 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $446.68 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $2,290.87 | Facility | None | $588.84 | $602.56 | $2,290.87 |
United Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $724.44 | Facility | None | $257.04 | $645.65 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $302.00 | $398.11 | $436.52 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $281.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $112.20 | $165.96 | $165.96 |
Where Alabama sits
The same service costs 10.2 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
$302
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.