How much rates vary
Facilitymedian $63 · 10th to 90th $63 to $112Professionalmedian $81 · 10th to 90th $58 to $158
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 $158.49 Median $158.49 Typical High $208.93 | Facility | None | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $158.49 | Professional | None | $91.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $53.70 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $21.38 | $31.62 | $31.62 |
BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $87.10 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $114.82 Typical High $436.52 | Facility | None | $107.15 | $114.82 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $169.82 | Professional | None | $51.29 | $60.26 | $169.82 |
United Setting Facility Modifier None Typical Low $48.98 Median $123.03 Typical High $138.04 | Facility | None | $48.98 | $123.03 | $138.04 |
United Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $81.28 | Professional | None | $57.54 | $75.86 | $81.28 |
Where Alabama sits
The same service costs 5.5 times more in Texas 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
$63.10
TX $347AL $63.10
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.