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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $151.36 | Professional | None | $89.13 | $120.23 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
BCBS Alabama Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | None | $81.28 | $112.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $501.19 | Facility | None | $74.13 | $93.33 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | None | $89.13 | $107.15 | $134.90 |
United Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $2,511.89 | Facility | None | $309.03 | $616.60 | $2,511.89 |
United Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $162.18 | Professional | None | $79.43 | $114.82 | $162.18 |
5 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 52 · Reduced service Typical Low $43.65 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $17.78 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $85.11 Typical High $102.33 | Professional | 54 · Surgery only | $66.07 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.98 Typical High $20.42 | Professional | 55 · Aftercare only | $13.18 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.22 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.71 | $11.22 | $13.49 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 41st of 51
$135
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.