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 $4,786.30 Median $4,786.30 Typical High $6,456.54 | Facility | None | $4,786.30 | $4,786.30 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $3,235.94 | $4,786.30 | $4,786.30 |
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 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $371.54 Median $446.68 Typical High $2,691.53 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $371.54 | $446.68 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $13,182.57 | Facility | None | $3,388.44 | $3,388.44 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,801.89 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,801.89 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,290.87 Typical High $2,511.89 | Professional | None (both parts) | $1,737.80 | $2,290.87 | $2,511.89 |
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | 26 · Professional part | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,621.81 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $645.65 | $954.99 | $954.99 |
Where Alabama sits
The same service costs 67.6 times more in Texas 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
$1,738
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.