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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $30.90 | Professional | None | $23.99 | $29.51 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,884.03 | $2,884.03 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $22.39 Median $30.20 Typical High $45.71 | Professional | 32 · Mandated service | $22.39 | $30.20 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $933.25 | Facility | None | $398.11 | $549.54 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $32.36 | Professional | None | $23.99 | $26.30 | $32.36 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $43.65 | Professional | None | $21.88 | $28.18 | $43.65 |
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 $12.02 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $12.02 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $4.79 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $20.89 Typical High $23.44 | Professional | 54 · Surgery only | $17.78 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.17 Typical High $4.68 | Professional | 55 · Aftercare only | $3.63 | $4.17 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.75 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.40 | $2.75 | $3.09 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 45th of 51
$31.62
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.