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 $67.61 Median $70.79 Typical High $95.50 | Facility | None | $67.61 | $70.79 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $70.79 Typical High $70.79 | Professional | None | $33.11 | $70.79 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $75.86 | Professional | None | $18.62 | $30.90 | $75.86 |
BCBS Alabama Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $162.18 | Facility | None | $158.49 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $40.74 Median $48.98 Typical High $58.88 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $40.74 | $48.98 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $199.53 | Facility | None | $50.12 | $52.48 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $70.79 | Professional | None | $30.20 | $33.11 | $70.79 |
United Setting Facility Modifier None Typical Low $22.39 Median $56.23 Typical High $61.66 | Facility | None | $22.39 | $56.23 | $61.66 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $47.86 | Professional | None | $26.30 | $33.88 | $47.86 |
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 $25.70 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $25.70 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $10.23 | $14.45 | $14.45 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 17th of 51
$70.79
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.