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 $2,238.72 Median $2,238.72 Typical High $3,019.95 | Facility | None | $2,238.72 | $2,238.72 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,412.54 Typical High $1,659.59 | Professional | None (both parts) | $1,174.90 | $1,412.54 | $1,659.59 |
BCBS Alabama Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $645.65 Median $741.31 Typical High $1,258.93 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $645.65 | $741.31 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $6,165.95 | Facility | None | $1,584.89 | $1,584.89 | $6,165.95 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $1,949.84 | Facility | None | $707.95 | $1,737.80 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,071.52 Typical High $1,174.90 | Professional | None (both parts) | $812.83 | $1,071.52 | $1,174.90 |
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | 26 · Professional part | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $758.58 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $302.00 | $446.68 | $446.68 |
Where Alabama sits
The same service costs 16.6 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
$589
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.