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 $323.59 Median $323.59 Typical High $794.33 | Professional | None | $323.59 | $323.59 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | 52 · Reduced service | $162.18 | $162.18 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $162.18 | Professional | 53 · Discontinued | $64.57 | $64.57 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $245.47 Typical High $602.56 | Professional | 54 · Surgery only | $239.88 | $245.47 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $48.98 Typical High $120.23 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $79.43 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $79.43 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $1,047.13 | Facility | None | $363.08 | $851.14 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $446.68 Typical High $478.63 | Professional | None | $186.21 | $446.68 | $478.63 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $512.86 | Professional | None | $134.90 | $309.03 | $512.86 |
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 $309.03 Median $416.87 Typical High $549.54 | Professional | 32 · Mandated service | $309.03 | $416.87 | $549.54 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 32nd of 51
$372
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.