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 $436.52 Median $436.52 Typical High $575.44 | Facility | None | $436.52 | $436.52 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | None | $295.12 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $147.91 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $58.88 | $87.10 | $87.10 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $1,202.26 | Facility | None | $302.00 | $316.23 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $165.96 Typical High $389.05 | Professional | None | $34.67 | $165.96 | $389.05 |
United Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $371.54 | Facility | None | $134.90 | $338.84 | $371.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $158.49 Typical High $223.87 | Professional | None | $51.29 | $158.49 | $223.87 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $57.54 | $57.54 | $57.54 |
Where Alabama sits
The same service costs 10.2 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· 48th of 51
$174
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.