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 $97.72 Median $97.72 Typical High $154.88 | Professional | None | $97.72 | $97.72 | $154.88 |
BCBS Alabama Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
BCBS Alabama Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $123.03 | Professional | None | $81.28 | $109.65 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $977.24 | Facility | None | $446.68 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $138.04 | Professional | None | $64.57 | $87.10 | $138.04 |
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 $47.86 Median $74.13 Typical High $165.96 | Professional | None | $47.86 | $74.13 | $165.96 |
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 $48.98 Median $48.98 Typical High $77.62 | Professional | 52 · Reduced service | $48.98 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $30.90 | Professional | 53 · Discontinued | $19.50 | $19.50 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | 54 · Surgery only | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $15.49 |
Where Alabama sits
The same service costs 3.7 times more in Wisconsin 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· 35th of 51
$97.72
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.