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 Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $89.13 | Professional | None | $53.70 | $56.23 | $89.13 |
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 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $36.31 Median $50.12 Typical High $70.79 | Professional | 32 · Mandated service | $36.31 | $50.12 | $70.79 |
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 $39.81 Median $51.29 Typical High $67.61 | Professional | None | $39.81 | $51.29 | $67.61 |
United Setting Facility Modifier None Typical Low $97.72 Median $363.08 Typical High $1,380.38 | Facility | None | $97.72 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $74.13 | Professional | None | $28.18 | $42.66 | $74.13 |
5 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 $28.18 Median $28.18 Typical High $44.67 | Professional | 52 · Reduced service | $28.18 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $17.78 | Professional | 53 · Discontinued | $11.22 | $11.22 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $13.18 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $8.91 |
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 |
Where Alabama sits
The same service costs 3.7 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· 26th of 51
$56.23
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.