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 $97.72 Median $112.20 Typical High $251.19 | Professional | None | $97.72 | $112.20 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $125.89 | Professional | 52 · Reduced service | $48.98 | $53.70 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $50.12 | Professional | 53 · Discontinued | $19.50 | $21.38 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $79.43 Typical High $190.55 | Professional | 54 · Surgery only | $72.44 | $79.43 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.22 Typical High $38.02 | Professional | 55 · Aftercare only | $14.79 | $16.22 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.72 Typical High $25.12 | Professional | 56 · Pre-op care only | $9.77 | $10.72 | $25.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $501.19 | Facility | None | $112.20 | $141.25 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $131.83 | Professional | None | $58.88 | $79.43 | $131.83 |
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 $39.81 Median $89.13 Typical High $151.36 | Professional | None | $39.81 | $89.13 | $151.36 |
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 $91.20 Median $125.89 Typical High $177.83 | Professional | 32 · Mandated service | $91.20 | $125.89 | $177.83 |
Where Alabama sits
The same service costs 3.5 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· 38th 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.