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 $162.18 Median $177.83 Typical High $245.47 | Professional | None | $162.18 | $177.83 | $245.47 |
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 $109.65 Median $151.36 Typical High $208.93 | Professional | None | $109.65 | $151.36 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $549.54 | Facility | None | $81.28 | $104.71 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $234.42 | Professional | None | $154.88 | $181.97 | $234.42 |
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 $93.33 Median $134.90 Typical High $239.88 | Professional | None | $93.33 | $134.90 | $239.88 |
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 $89.13 Median $89.13 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | 54 · Surgery only | $134.90 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $24.55 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $24.55 |
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
$178
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.