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 $213.80 Median $213.80 Typical High $288.40 | Facility | None | $213.80 | $213.80 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $213.80 | Professional | None | $144.54 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $42.66 | $42.66 |
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 $151.36 Median $154.88 Typical High $588.84 | Facility | None | $151.36 | $154.88 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $724.44 | Professional | None | $79.43 | $85.11 | $724.44 |
United Setting Facility Modifier None Typical Low $66.07 Median $165.96 Typical High $186.21 | Facility | None | $66.07 | $165.96 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $112.20 | Professional | None | $77.62 | $102.33 | $112.20 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $741.31 | $741.31 | $741.31 |
Where Alabama sits
The same service costs 8.3 times more in California than in Oklahoma. 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· 37th 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.