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 $4,168.69 Median $4,168.69 Typical High $5,495.41 | Facility | None | $4,168.69 | $4,168.69 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $2,818.38 | $4,168.69 | $4,168.69 |
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 $2,187.76 Median $2,630.27 Typical High $2,630.27 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $2,187.76 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $11,481.54 | Facility | None | $2,951.21 | $3,019.95 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,235.94 Typical High $3,630.78 | Facility | None | $1,288.25 | $3,235.94 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,995.26 Typical High $2,137.96 | Professional | None (both parts) | $1,513.56 | $1,995.26 | $2,137.96 |
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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | 26 · Professional part | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,412.54 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $562.34 | $831.76 | $831.76 |
Where Alabama sits
The same service costs 8.9 times more in Texas than in New Mexico. 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
$1,514
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.