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 $64.57 Median $120.23 Typical High $134.90 | Professional | None | $64.57 | $120.23 | $134.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Alabama Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $223.87 | Professional | None | $109.65 | $151.36 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $870.96 | Facility | None | $363.08 | $741.31 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $199.53 | Professional | None | $75.86 | $109.65 | $199.53 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $229.09 | Professional | None | $58.88 | $120.23 | $229.09 |
6 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 $32.36 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $32.36 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $12.88 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $91.20 Typical High $100.00 | Professional | 54 · Surgery only | $47.86 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $18.20 Typical High $19.95 | Professional | 55 · Aftercare only | $9.77 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $12.02 Typical High $13.49 | Professional | 56 · Pre-op care only | $6.46 | $12.02 | $13.49 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,019.95 Median $3,090.30 Typical High $3,090.30 | Facility | 50 · Both sides | $3,019.95 | $3,090.30 | $3,090.30 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 35th of 51
$151
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.