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 $257.04 Median $257.04 Typical High $407.38 | Professional | None | $257.04 | $257.04 | $407.38 |
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 $186.21 Median $245.47 Typical High $316.23 | Professional | None | $186.21 | $245.47 | $316.23 |
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 $128.82 Median $199.53 Typical High $331.13 | Professional | None | $128.82 | $199.53 | $331.13 |
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 $128.82 Median $128.82 Typical High $204.17 | Professional | 52 · Reduced service | $128.82 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $81.28 | Professional | 53 · Discontinued | $51.29 | $51.29 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $302.00 | Professional | 54 · Surgery only | $190.55 | $190.55 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $61.66 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $40.74 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $204.17 Median $281.84 Typical High $346.74 | Professional | 32 · Mandated service | $204.17 | $281.84 | $346.74 |
Where Alabama sits
The same service costs 3.9 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
$257
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.