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 $138.04 Typical High $223.87 | Professional | None | $97.72 | $138.04 | $223.87 |
BCBS Alabama Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | None | $436.52 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $173.78 | Professional | None | $75.86 | $102.33 | $173.78 |
United Setting Facility Modifier None Typical Low $251.19 Median $870.96 Typical High $1,737.80 | Facility | None | $251.19 | $870.96 | $1,737.80 |
United Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $162.18 | Professional | None | $63.10 | $102.33 | $162.18 |
6 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 $52.48 Median $69.18 Typical High $112.20 | Professional | 52 · Reduced service | $52.48 | $69.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $27.54 Typical High $44.67 | Professional | 53 · Discontinued | $20.89 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $102.33 Typical High $169.82 | Professional | 54 · Surgery only | $79.43 | $102.33 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.42 Typical High $33.88 | Professional | 55 · Aftercare only | $15.85 | $20.42 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.80 Typical High $22.39 | Professional | 56 · Pre-op care only | $10.47 | $13.80 | $22.39 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $81.28 Median $109.65 Typical High $131.83 | Professional | 32 · Mandated service | $81.28 | $109.65 | $131.83 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 32nd of 51
$115
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.