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 $54.95 Median $54.95 Typical High $74.13 | Facility | None | $54.95 | $54.95 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $54.95 Typical High $54.95 | Professional | None | $25.12 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | None | $23.99 | $23.99 | $31.62 |
BCBS Alabama Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $30.20 Median $37.15 Typical High $44.67 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $30.20 | $37.15 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $151.36 | Facility | None | $38.90 | $40.74 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $269.15 | Professional | None | $25.12 | $26.30 | $269.15 |
United Setting Facility Modifier None Typical Low $17.38 Median $42.66 Typical High $47.86 | Facility | None | $17.38 | $42.66 | $47.86 |
United Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $38.90 | Professional | None | $19.95 | $22.91 | $38.90 |
2 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 $21.38 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $21.38 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $8.51 | $10.96 | $10.96 |
Where Alabama sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 51st of 51
$19.95
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.