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 $21.38 Median $21.38 Typical High $28.84 | Facility | None | $21.38 | $21.38 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $21.38 | Professional | None | $13.80 | $21.38 | $21.38 |
BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.49 Typical High $15.49 | Facility | None | $15.14 | $15.49 | $15.49 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $11.48 Median $12.59 Typical High $14.13 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $11.48 | $12.59 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.85 Typical High $60.26 | Facility | None | $15.14 | $15.85 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $21.38 | Professional | None | $7.08 | $8.13 | $21.38 |
United Setting Facility Modifier None Typical Low $6.76 Median $16.60 Typical High $18.62 | Facility | None | $6.76 | $16.60 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $11.22 | Professional | None | $7.76 | $9.33 | $11.22 |
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 $7.59 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $7.59 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.09 | $4.27 | $4.27 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 28th of 51
$15.14
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.