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 $977.24 Median $977.24 Typical High $1,288.25 | Facility | None | $977.24 | $977.24 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $977.24 | Professional | None | $660.69 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $331.13 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $131.83 | $194.98 | $194.98 |
BCBS 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 $676.08 Median $707.95 Typical High $2,691.53 | Facility | None | $676.08 | $707.95 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $954.99 | Professional | None | $371.54 | $676.08 | $954.99 |
United Setting Facility Modifier None Typical Low $302.00 Median $758.58 Typical High $831.76 | Facility | None | $302.00 | $758.58 | $831.76 |
United Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $501.19 | Professional | None | $323.59 | $354.81 | $501.19 |
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 Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $676.08 | $676.08 | $676.08 |
Where Alabama sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 35th of 51
$589
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.