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 $426.58 Median $426.58 Typical High $549.54 | Professional | None | $426.58 | $426.58 | $549.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
BCBS Alabama Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $575.44 | Professional | None | $281.84 | $389.05 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $501.19 | Facility | None | $158.49 | $194.98 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $512.86 | Professional | None | $263.03 | $354.81 | $512.86 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $575.44 | Professional | None | $257.04 | $380.19 | $575.44 |
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 $213.80 Median $213.80 Typical High $275.42 | Professional | 52 · Reduced service | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | 53 · Discontinued | $87.10 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | 54 · Surgery only | $323.59 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $54.95 |
Where Alabama sits
The same service costs 2.9 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· 29th of 51
$427
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.