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 $26.92 Median $28.84 Typical High $45.71 | Professional | None | $26.92 | $28.84 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
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 $25.70 Median $34.67 Typical High $38.90 | Professional | 32 · Mandated service | $25.70 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $446.68 | Facility | None | $13.18 | $16.98 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $47.86 | Professional | None | $21.88 | $30.90 | $47.86 |
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 $14.79 Median $23.99 Typical High $45.71 | Professional | None | $14.79 | $23.99 | $45.71 |
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 $14.45 Median $14.45 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $14.45 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $9.12 | Professional | 53 · Discontinued | $5.75 | $5.75 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $6.92 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $4.57 |
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 3.0 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· 33rd of 51
$30.90
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.