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 $426.58 Median $1,096.48 Typical High $2,398.83 | Facility | None | $426.58 | $1,096.48 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $426.58 | Professional | None | $281.84 | $302.00 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | None | $120.23 | $120.23 | $213.80 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS Alabama Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $524.81 | Professional | None | $323.59 | $380.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,000.00 | Facility | None | $363.08 | $794.33 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $524.81 | Professional | None | $194.98 | $288.40 | $524.81 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $371.54 | Professional | None | $141.25 | $229.09 | $371.54 |
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 $141.25 Median $141.25 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $208.93 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $42.66 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | 50 · Both sides | $4,265.80 | $4,265.80 | $4,265.80 |
Where Alabama sits
The same service costs 3.1 times more in Alaska than in New York. 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· 16th of 51
$380
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.