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 $776.25 Median $1,258.93 Typical High $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $2,511.89 | Professional | None | $263.03 | $407.38 | $2,511.89 |
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 $1,513.56 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,995.26 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $4,365.16 | Facility | None | $1,258.93 | $3,090.30 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,819.70 Typical High $2,238.72 | Professional | None | $190.55 | $1,819.70 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,691.53 | $5,248.07 |
United Setting Professional Modifier None Typical Low $134.90 Median $1,348.96 Typical High $2,884.03 | Professional | None | $134.90 | $1,348.96 | $2,884.03 |
2 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 54 · Surgery only Typical Low $199.53 Median $302.00 Typical High $1,862.09 | Professional | 54 · Surgery only | $199.53 | $302.00 | $1,862.09 |
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 10.0 times more in Alaska than in Nebraska. 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· 13th of 51
$2,042
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.