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 $3,019.95 Median $3,019.95 Typical High $4,073.80 | Facility | None | $3,019.95 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $3,019.95 |
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 $467.74 Median $575.44 Typical High $1,737.80 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $467.74 | $575.44 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $8,511.38 | Facility | None | $2,137.96 | $2,137.96 | $8,511.38 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,398.83 Typical High $2,630.27 | Facility | None | $954.99 | $2,398.83 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $1,584.89 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $1,584.89 |
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 26 · Professional part | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,023.29 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $416.87 | $602.56 | $602.56 |
Where Alabama sits
The same service costs 33.9 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· 49th of 51
$1,122
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.