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 $6,025.60 Median $6,025.60 Typical High $8,128.31 | Facility | None | $6,025.60 | $6,025.60 | $8,128.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,467.37 Typical High $4,073.80 | Professional | None (both parts) | $3,162.28 | $3,467.37 | $4,073.80 |
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 $371.54 Median $446.68 Typical High $3,388.44 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $371.54 | $446.68 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $16,595.87 | Facility | None | $4,265.80 | $4,365.16 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,884.03 Typical High $3,162.28 | Professional | None (both parts) | $2,187.76 | $2,884.03 | $3,162.28 |
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 $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | 26 · Professional part | $6,025.60 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,041.74 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $812.83 | $1,202.26 | $1,202.26 |
Where Alabama sits
The same service costs 416.9 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
$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.