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 $169.82 Median $630.96 Typical High $1,698.24 | Professional | None | $169.82 | $630.96 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $316.23 Typical High $851.14 | Professional | 52 · Reduced service | $85.11 | $316.23 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $125.89 Typical High $346.74 | Professional | 53 · Discontinued | $33.88 | $125.89 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $478.63 Typical High $1,288.25 | Professional | 54 · Surgery only | $128.82 | $478.63 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $95.50 Typical High $257.04 | Professional | 55 · Aftercare only | $25.70 | $95.50 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $63.10 Typical High $169.82 | Professional | 56 · Pre-op care only | $16.98 | $63.10 | $169.82 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,951.21 | $3,019.95 | $3,019.95 |
BCBS Alabama Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $645.65 Typical High $794.33 | Facility | None | $363.08 | $645.65 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $407.38 Typical High $1,000.00 | Professional | None | $102.33 | $407.38 | $1,000.00 |
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 $70.79 Median $660.69 Typical High $1,174.90 | Professional | None | $70.79 | $660.69 | $1,174.90 |
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 $691.83 Median $933.25 Typical High $1,318.26 | Professional | 32 · Mandated service | $691.83 | $933.25 | $1,318.26 |
Where Alabama sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 34th of 51
$646
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.