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 $117.49 Median $144.54 Typical High $295.12 | Professional | None | $117.49 | $144.54 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
BCBS Alabama Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | None | $436.52 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $245.47 | Professional | None | $91.20 | $147.91 | $245.47 |
United Setting Facility Modifier None Typical Low $251.19 Median $870.96 Typical High $1,737.80 | Facility | None | $251.19 | $870.96 | $1,737.80 |
United Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $275.42 | Professional | None | $67.61 | $158.49 | $275.42 |
7 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 $58.88 Median $77.62 Typical High $147.91 | Professional | 52 · Reduced service | $58.88 | $77.62 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $30.90 Typical High $60.26 | Professional | 53 · Discontinued | $23.44 | $30.90 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $117.49 Typical High $223.87 | Professional | 54 · Surgery only | $89.13 | $117.49 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $23.44 Typical High $44.67 | Professional | 55 · Aftercare only | $17.78 | $23.44 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $15.49 Typical High $29.51 | Professional | 56 · Pre-op care only | $11.75 | $15.49 | $29.51 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 50 · Both sides | $660.69 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $138.04 Median $186.21 Typical High $218.78 | Professional | 32 · Mandated service | $138.04 | $186.21 | $218.78 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 22nd of 51
$178
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.