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 $912.01 Median $912.01 Typical High $1,230.27 | Facility | None | $912.01 | $912.01 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $912.01 | Professional | None | $616.60 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $309.03 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $123.03 | $181.97 | $181.97 |
BCBS Alabama 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 $645.65 Median $676.08 Typical High $2,511.89 | Facility | None | $645.65 | $676.08 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $1,148.15 | Professional | None | $354.81 | $363.08 | $1,148.15 |
United Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $794.33 | Facility | None | $288.40 | $707.95 | $794.33 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $478.63 | Professional | None | $331.13 | $398.11 | $478.63 |
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 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $741.31 | $741.31 | $741.31 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 40th 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.