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 $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $138.04 Median $186.21 Typical High $218.78 | Professional | 32 · Mandated service | $138.04 | $186.21 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $501.19 | Facility | None | $309.03 | $398.11 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $245.47 | Professional | None | $125.89 | $169.82 | $245.47 |
United Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $2,511.89 | Facility | None | $309.03 | $616.60 | $2,511.89 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | None | $77.62 | $117.49 | $204.17 |
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 $77.62 Median $77.62 Typical High $107.15 | Professional | 52 · Reduced service | $77.62 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | 53 · Discontinued | $30.90 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | 54 · Surgery only | $114.82 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $21.38 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 21st of 51
$174
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.