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 $30.90 Median $30.90 Typical High $41.69 | Facility | None | $30.90 | $30.90 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $30.90 Typical High $30.90 | Professional | None | $13.80 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Alabama Setting Facility Modifier None Typical Low $15.14 Median $15.49 Typical High $15.49 | Facility | None | $15.14 | $15.49 | $15.49 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $15.14 Median $17.38 Typical High $18.20 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $15.14 | $17.38 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $87.10 | Facility | None | $21.88 | $22.91 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $31.62 | Professional | None | $10.47 | $12.02 | $31.62 |
United Setting Facility Modifier None Typical Low $9.77 Median $24.55 Typical High $26.92 | Facility | None | $9.77 | $24.55 | $26.92 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $16.22 | Professional | None | $11.48 | $12.59 | $16.22 |
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 $11.22 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $11.22 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.47 | $6.31 | $6.31 |
Where Alabama sits
The same service costs 4.0 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
$15.49
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.