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 $870.96 Median $870.96 Typical High $1,148.15 | Facility | None | $870.96 | $870.96 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $1,348.96 | Professional | None (both parts) | $446.68 | $602.56 | $1,348.96 |
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 $489.78 Typical High $562.34 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $467.74 | $489.78 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $2,398.83 | Facility | None | $602.56 | $630.96 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $870.96 | $1,071.52 |
United Setting Facility Modifier None Typical Low $269.15 Median $676.08 Typical High $758.58 | Facility | None | $269.15 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $316.23 | $371.54 | $446.68 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | 26 · Professional part | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $309.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $123.03 | $173.78 | $173.78 |
Where Alabama sits
The same service costs 26.9 times more in Alaska 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
$63.10
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.