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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | None | $281.84 | $281.84 | $489.78 |
BCBS Alabama Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $154.88 Typical High $446.68 | Facility | None | $50.12 | $154.88 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $407.38 | Professional | None | $169.82 | $245.47 | $407.38 |
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 $141.25 Median $223.87 Typical High $363.08 | Professional | None | $141.25 | $223.87 | $363.08 |
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 $141.25 Median $141.25 Typical High $239.88 | Professional | 52 · Reduced service | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 53 · Discontinued | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | 54 · Surgery only | $208.93 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $48.98 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $204.17 Median $281.84 Typical High $389.05 | Professional | 32 · Mandated service | $204.17 | $281.84 | $389.05 |
Where Alabama sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 27th of 51
$269
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.