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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $120.23 | Professional | None | $77.62 | $95.50 | $120.23 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS Alabama Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $446.68 | Facility | None | $30.20 | $38.90 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $102.33 | Professional | None | $53.70 | $64.57 | $102.33 |
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 $42.66 Median $57.54 Typical High $75.86 | Professional | None | $42.66 | $57.54 | $75.86 |
7 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 $39.81 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $39.81 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $15.85 | $19.05 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $70.79 Typical High $91.20 | Professional | 54 · Surgery only | $60.26 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.13 Typical High $18.20 | Professional | 55 · Aftercare only | $12.02 | $14.13 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.55 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.94 | $9.55 | $12.02 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 50 · Both sides | $691.83 | $691.83 | $691.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $43.65 Median $60.26 Typical High $83.18 | Professional | 32 · Mandated service | $43.65 | $60.26 | $83.18 |
Where Alabama sits
The same service costs 3.7 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· 11th of 51
$95.50
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.