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 $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $165.96 | Professional | None | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $23.99 | $33.11 | $33.11 |
BCBS Alabama Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $64.57 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $457.09 | Facility | None | $117.49 | $123.03 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $831.76 | Professional | None | $66.07 | $87.10 | $831.76 |
United Setting Facility Modifier None Typical Low $52.48 Median $131.83 Typical High $144.54 | Facility | None | $52.48 | $131.83 | $144.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $117.49 | Professional | None | $60.26 | $87.10 | $117.49 |
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 59 · Distinct service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 59 · Distinct service | $72.44 | $72.44 | $72.44 |
Where Alabama sits
The same service costs 4.9 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
$66.07
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.