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 $123.03 Median $123.03 Typical High $173.78 | Professional | None | $123.03 | $123.03 | $173.78 |
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 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $74.13 Median $102.33 Typical High $141.25 | Professional | 32 · Mandated service | $74.13 | $102.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $446.68 | Facility | None | $50.12 | $72.44 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | None | $87.10 | $97.72 | $112.20 |
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 $64.57 Median $89.13 Typical High $147.91 | Professional | None | $64.57 | $89.13 | $147.91 |
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 $61.66 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $17.38 |
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 |
Where Alabama sits
The same service costs 3.8 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· 32nd of 51
$112
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.