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 $1,862.09 | Facility | None | $562.34 | $954.99 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $1,348.96 | Professional | None | $316.23 | $446.68 | $1,348.96 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $537.03 Median $724.44 Typical High $1,071.52 | Professional | 32 · Mandated service | $537.03 | $724.44 | $1,071.52 |
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 $190.55 Median $630.96 Typical High $912.01 | Professional | None | $190.55 | $630.96 | $912.01 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,073.80 | Facility | None | $758.58 | $1,737.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $138.04 Median $537.03 Typical High $912.01 | Professional | None | $138.04 | $537.03 | $912.01 |
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 54 · Surgery only Typical Low $239.88 Median $338.84 Typical High $1,023.29 | Professional | 54 · Surgery only | $239.88 | $338.84 | $1,023.29 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | 50 · Both sides | $3,311.31 | $3,311.31 | $3,311.31 |
Where Alabama sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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
$741
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.