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 $74.13 Median $104.71 Typical High $141.25 | Professional | None | $74.13 | $104.71 | $141.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $346.74 Median $354.81 Typical High $354.81 | Facility | None | $346.74 | $354.81 | $354.81 |
BCBS Alabama Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $114.82 | Professional | None | $60.26 | $83.18 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $512.86 | Facility | None | $50.12 | $64.57 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $109.65 | Professional | None | $77.62 | $87.10 | $109.65 |
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 $53.70 Median $72.44 Typical High $120.23 | Professional | None | $53.70 | $72.44 | $120.23 |
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 $52.48 Median $52.48 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $21.38 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $14.13 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 50 · Both sides | $524.81 | $524.81 | $524.81 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 28th of 51
$97.72
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.