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 $42.66 Median $66.07 Typical High $79.43 | Professional | None | $42.66 | $66.07 | $79.43 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Alabama Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $512.86 | Facility | None | $50.12 | $102.33 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $64.57 | Professional | None | $36.31 | $42.66 | $64.57 |
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 $30.20 Median $38.90 Typical High $51.29 | Professional | None | $30.20 | $38.90 | $51.29 |
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 $27.54 Median $33.11 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $15.85 | Professional | 53 · Discontinued | $11.22 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $50.12 Typical High $60.26 | Professional | 54 · Surgery only | $41.69 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.00 Typical High $12.02 | Professional | 55 · Aftercare only | $8.32 | $10.00 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.61 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.62 | $6.61 | $7.94 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 50 · Both sides | $158.49 | $158.49 | $158.49 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $46.77 Median $58.88 Typical High $67.61 | Professional | 32 · Mandated service | $46.77 | $58.88 | $67.61 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$66.07
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.