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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $354.81 | Professional | None | $218.78 | $234.42 | $354.81 |
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 32 · Mandated service Typical Low $151.36 Median $208.93 Typical High $309.03 | Professional | 32 · Mandated service | $151.36 | $208.93 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,621.81 Typical High $1,995.26 | Facility | None | $489.78 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $309.03 | Professional | None | $151.36 | $199.53 | $309.03 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,265.80 | Facility | None | $758.58 | $1,737.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $295.12 | Professional | None | $109.65 | $186.21 | $295.12 |
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 $109.65 Median $117.49 Typical High $177.83 | Professional | 52 · Reduced service | $109.65 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $70.79 | Professional | 53 · Discontinued | $43.65 | $46.77 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $177.83 Typical High $263.03 | Professional | 54 · Surgery only | $162.18 | $177.83 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $52.48 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $35.48 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $35.48 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 27th of 51
$251
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.