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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $234.42 | Professional | None | $134.90 | $165.96 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Alabama Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
BCBS Alabama Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $199.53 | Professional | None | $104.71 | $141.25 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $549.54 | Facility | None | $83.18 | $104.71 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | None | $147.91 | $169.82 | $218.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $2,511.89 | Facility | None | $316.23 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $223.87 | Professional | None | $87.10 | $125.89 | $223.87 |
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 $83.18 Median $83.18 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $33.11 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | 54 · Surgery only | $123.03 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $23.44 |
Where Alabama sits
The same service costs 3.5 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· 29th of 51
$166
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.