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 $851.14 Median $851.14 Typical High $1,148.15 | Facility | None | $851.14 | $851.14 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $575.44 | Professional | None (both parts) | $446.68 | $501.19 | $575.44 |
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 $275.42 Median $338.84 Typical High $478.63 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $275.42 | $338.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $2,344.23 | Facility | None | $602.56 | $630.96 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $309.03 | $407.38 | $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 $851.14 Median $851.14 Typical High $851.14 | Professional | 26 · Professional part | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $169.82 | $169.82 |
Where Alabama sits
The same service costs 58.9 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.