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 $501.19 Median $501.19 Typical High $676.08 | Facility | None | $501.19 | $501.19 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | None | $295.12 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $169.82 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $69.18 | $102.33 | $102.33 |
BCBS Alabama Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $1,412.54 | Facility | None | $354.81 | $371.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $194.98 Typical High $741.31 | Professional | None | $66.07 | $194.98 | $741.31 |
United Setting Facility Modifier None Typical Low $158.49 Median $398.11 Typical High $436.52 | Facility | None | $158.49 | $398.11 | $436.52 |
United Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $263.03 | Professional | None | $97.72 | $186.21 | $263.03 |
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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $109.65 | $109.65 | $109.65 |
Where Alabama sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 9th of 51
$501
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.