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 $912.01 Median $912.01 Typical High $1,230.27 | Facility | None | $912.01 | $912.01 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | None | $660.69 | $912.01 | $912.01 |
BCBS Alabama Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $47.86 | Facility | None | $46.77 | $47.86 | $47.86 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $275.42 Median $338.84 Typical High $524.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $275.42 | $338.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $2,570.40 | Facility | None | $645.65 | $676.08 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $1,548.82 | Professional | None | $141.25 | $251.19 | $1,548.82 |
United Setting Facility Modifier None Typical Low $288.40 Median $724.44 Typical High $794.33 | Facility | None | $288.40 | $724.44 | $794.33 |
United Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $478.63 | Professional | None | $194.98 | $338.84 | $478.63 |
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 $331.13 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $331.13 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $131.83 | $186.21 | $186.21 |
Where Alabama sits
The same service costs 11.0 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
$166
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.