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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $380.19 | Professional | None | $165.96 | $169.82 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $186.21 | Professional | 52 · Reduced service | $83.18 | $83.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | 53 · Discontinued | $33.11 | $33.11 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $281.84 | Professional | 54 · Surgery only | $123.03 | $123.03 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $56.23 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $38.02 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $38.02 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,380.38 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $812.83 | Facility | None | $134.90 | $165.96 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $257.04 | Professional | None | $91.20 | $165.96 | $257.04 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $3,162.28 | Facility | None | $478.63 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $69.18 Median $154.88 Typical High $251.19 | Professional | None | $69.18 | $154.88 | $251.19 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $134.90 Median $186.21 Typical High $263.03 | Professional | 32 · Mandated service | $134.90 | $186.21 | $263.03 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 37th of 51
$166
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.