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 $44.67 Median $44.67 Typical High $58.88 | Facility | None | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $44.67 Typical High $44.67 | Professional | None | $22.91 | $44.67 | $44.67 |
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 $11.75 Median $13.80 Typical High $25.70 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $11.75 | $13.80 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $123.03 | Facility | None | $31.62 | $32.36 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $54.95 | Professional | None | $16.60 | $26.92 | $54.95 |
United Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $38.90 | Facility | None | $13.80 | $34.67 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | None | $16.22 | $16.22 | $22.91 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 90 · Outside lab | $22.91 | $22.91 | $23.99 |
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
$16.22
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.