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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $218.78 | Professional | None | $123.03 | $158.49 | $218.78 |
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 $100.00 Typical High $446.68 | Facility | None | $50.12 | $100.00 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $177.83 | Professional | None | $120.23 | $134.90 | $177.83 |
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 $81.28 Median $112.20 Typical High $194.98 | Professional | None | $81.28 | $112.20 | $194.98 |
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 $79.43 Median $79.43 Typical High $109.65 | Professional | 52 · Reduced service | $79.43 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | 53 · Discontinued | $31.62 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $21.88 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $21.88 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $407.38 Median $416.87 Typical High $416.87 | Facility | 50 · Both sides | $407.38 | $416.87 | $416.87 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $114.82 Median $154.88 Typical High $194.98 | Professional | 32 · Mandated service | $114.82 | $154.88 | $194.98 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 24th of 51
$158
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.