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 $64.57 Median $70.79 Typical High $107.15 | Facility | None | $64.57 | $70.79 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $107.15 | Professional | None | $58.88 | $66.07 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $95.50 | Professional | None | $38.90 | $51.29 | $95.50 |
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 $102.33 Typical High $512.86 | Facility | None | $50.12 | $102.33 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $83.18 | Professional | None | $45.71 | $63.10 | $83.18 |
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 $32.36 Median $51.29 Typical High $91.20 | Professional | None | $32.36 | $51.29 | $91.20 |
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 $32.36 Typical High $53.70 | Professional | 52 · Reduced service | $32.36 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $21.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $10.72 |
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 $44.67 Median $61.66 Typical High $87.10 | Professional | 32 · Mandated service | $44.67 | $61.66 | $87.10 |
Where Alabama sits
The same service costs 4.0 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· 36th of 51
$64.57
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.