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 $147.91 Median $169.82 Typical High $229.09 | Professional | None | $147.91 | $169.82 | $229.09 |
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 $125.89 Median $141.25 Typical High $186.21 | Professional | None | $125.89 | $141.25 | $186.21 |
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 $87.10 Median $120.23 Typical High $204.17 | Professional | None | $87.10 | $120.23 | $204.17 |
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 $85.11 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 53 · Discontinued | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $22.91 |
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 $123.03 Median $169.82 Typical High $208.93 | Professional | 32 · Mandated service | $123.03 | $169.82 | $208.93 |
Where Alabama sits
The same service costs 4.0 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
$166
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.