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 $69.18 Median $69.18 Typical High $93.33 | Facility | None | $69.18 | $69.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | None | $48.98 | $69.18 | $69.18 |
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 $13.80 Median $16.98 Typical High $38.90 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $13.80 | $16.98 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $190.55 | Facility | None | $48.98 | $51.29 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $95.50 | Professional | None | $8.71 | $12.88 | $95.50 |
United Setting Facility Modifier None Typical Low $21.38 Median $53.70 Typical High $60.26 | Facility | None | $21.38 | $53.70 | $60.26 |
United Setting Professional Modifier None Typical Low $12.88 Median $25.12 Typical High $36.31 | Professional | None | $12.88 | $25.12 | $36.31 |
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 $24.55 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $9.77 | $13.80 | $13.80 |
Where Alabama sits
The same service costs 8.7 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.