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 $186.21 Median $186.21 Typical High $338.84 | Facility | None | $186.21 | $186.21 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $186.21 | Professional | None | $131.83 | $186.21 | $186.21 |
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 $60.26 Median $74.13 Typical High $104.71 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $60.26 | $74.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $512.86 | Facility | None | $131.83 | $138.04 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $426.58 | Professional | None | $39.81 | $54.95 | $426.58 |
United Setting Facility Modifier None Typical Low $58.88 Median $144.54 Typical High $162.18 | Facility | None | $58.88 | $144.54 | $162.18 |
United Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $97.72 | Professional | None | $42.66 | $67.61 | $97.72 |
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 $66.07 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $37.15 | $37.15 |
Where Alabama sits
The same service costs 7.6 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
$47.86
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.