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 $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $83.18 Median $114.82 Typical High $165.96 | Professional | 32 · Mandated service | $83.18 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $4,168.69 Typical High $5,248.07 | Facility | None | $363.08 | $4,168.69 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $169.82 | Professional | None | $123.03 | $134.90 | $169.82 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $5,370.32 | Facility | None | $1,096.48 | $2,454.71 | $5,370.32 |
United Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $213.80 | Professional | None | $89.13 | $114.82 | $213.80 |
5 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 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 54 · Surgery only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Where Alabama sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 22nd of 51
$162
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.