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 $602.56 Median $1,174.90 Typical High $2,137.96 | Professional | None | $602.56 | $1,174.90 | $2,137.96 |
BCBS Alabama Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
BCBS Alabama Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,230.27 | $1,548.82 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $2,187.76 Typical High $2,630.27 | Facility | None | $549.54 | $2,187.76 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $2,290.87 | Professional | None | $371.54 | $602.56 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,344.23 | $5,248.07 |
United Setting Professional Modifier None Typical Low $309.03 Median $1,047.13 Typical High $1,949.84 | Professional | None | $309.03 | $1,047.13 | $1,949.84 |
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 $302.00 Median $575.44 Typical High $1,071.52 | Professional | 52 · Reduced service | $302.00 | $575.44 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $234.42 Typical High $426.58 | Professional | 53 · Discontinued | $120.23 | $234.42 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $870.96 Typical High $1,584.89 | Professional | 54 · Surgery only | $457.09 | $870.96 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $173.78 Typical High $316.23 | Professional | 55 · Aftercare only | $91.20 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $117.49 Typical High $213.80 | Professional | 56 · Pre-op care only | $60.26 | $117.49 | $213.80 |
Where Alabama sits
The same service costs 5.1 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· 18th of 51
$1,698
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.