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 $91.20 Median $104.71 Typical High $104.71 | Facility | None | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $104.71 | Professional | None | $67.61 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $38.02 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $15.14 | $20.89 | $20.89 |
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 $63.10 Median $93.33 Typical High $93.33 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $63.10 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $288.40 | Facility | None | $74.13 | $77.62 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $524.81 | Professional | None | $41.69 | $54.95 | $524.81 |
United Setting Facility Modifier None Typical Low $33.11 Median $83.18 Typical High $91.20 | Facility | None | $33.11 | $83.18 | $91.20 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $74.13 | Professional | None | $38.90 | $54.95 | $74.13 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 59 · Distinct service | $45.71 | $45.71 | $45.71 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 50th of 51
$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.