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 $223.87 Median $223.87 Typical High $426.58 | Professional | None | $223.87 | $223.87 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | 52 · Reduced service | $112.20 | $112.20 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | 54 · Surgery only | $165.96 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $42.66 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
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 $128.82 Median $213.80 Typical High $338.84 | Professional | None | $128.82 | $213.80 | $338.84 |
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 $93.33 Median $154.88 Typical High $288.40 | Professional | None | $93.33 | $154.88 | $288.40 |
2 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 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $85.11 | Professional | 53 · Discontinued | $44.67 | $44.67 | $85.11 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $158.49 Median $218.78 Typical High $309.03 | Professional | 32 · Mandated service | $158.49 | $218.78 | $309.03 |
Where Alabama sits
The same service costs 3.8 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· 21st of 51
$224
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.