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 $75.86 Median $75.86 Typical High $102.33 | Facility | None | $75.86 | $75.86 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $75.86 | Professional | None | $53.70 | $75.86 | $75.86 |
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 $43.65 Median $54.95 Typical High $66.07 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $43.65 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $213.80 | Facility | None | $53.70 | $56.23 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $446.68 | Professional | None | $34.67 | $42.66 | $446.68 |
United Setting Facility Modifier None Typical Low $23.99 Median $60.26 Typical High $66.07 | Facility | None | $23.99 | $60.26 | $66.07 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $53.70 | Professional | None | $28.18 | $33.11 | $53.70 |
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 $29.51 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $11.75 | $15.49 | $15.49 |
Where Alabama sits
The same service costs 3.9 times more in Kansas than in Texas. 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· 50th 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.