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 $30.90 Median $30.90 Typical High $54.95 | Professional | None | $30.90 | $30.90 | $54.95 |
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 $47.86 Typical High $50.12 | Professional | 32 · Mandated service | $36.31 | $47.86 | $50.12 |
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 $22.91 Median $36.31 Typical High $63.10 | Professional | None | $22.91 | $36.31 | $63.10 |
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 $15.85 Median $28.84 Typical High $54.95 | Professional | None | $15.85 | $28.84 | $54.95 |
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 $15.49 Median $15.49 Typical High $27.54 | Professional | 52 · Reduced service | $15.49 | $15.49 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $10.96 | Professional | 53 · Discontinued | $6.17 | $6.17 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $8.32 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $5.50 |
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 3.8 times more in Alaska than in Virginia. 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· 35th of 51
$36.31
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.