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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $169.82 | Professional | None | $109.65 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $173.78 | Professional | None | $79.43 | $112.20 | $173.78 |
BCBS Alabama Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $676.08 | Facility | None | $660.69 | $676.08 | $676.08 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $100.00 Median $138.04 Typical High $181.97 | Professional | 32 · Mandated service | $100.00 | $138.04 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $501.19 | Facility | None | $64.57 | $81.28 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $169.82 | Professional | None | $100.00 | $117.49 | $169.82 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $144.54 | Professional | None | $77.62 | $112.20 | $144.54 |
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 $61.66 Median $61.66 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $24.55 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | 54 · Surgery only | $93.33 | $93.33 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $16.98 |
Where Alabama sits
The same service costs 3.7 times more in Alaska 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· 36th of 51
$129
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.