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 $34.67 Median $87.10 Typical High $134.90 | Facility | None | $34.67 | $87.10 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $134.90 | Professional | None | $67.61 | $77.62 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
BCBS Alabama Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $446.68 | Facility | None | $50.12 | $69.18 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | None | $70.79 | $87.10 | $114.82 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $117.49 | Professional | None | $34.67 | $66.07 | $117.49 |
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 $33.11 Median $34.67 Typical High $67.61 | Professional | 52 · Reduced service | $33.11 | $34.67 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $26.92 | Professional | 53 · Discontinued | $13.49 | $14.13 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $19.95 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $13.49 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $13.49 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 50 · Both sides | $95.50 | $95.50 | $95.50 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $89.13 Median $112.20 Typical High $125.89 | Professional | 32 · Mandated service | $89.13 | $112.20 | $125.89 |
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· 47th of 51
$70.79
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.