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 $1,698.24 Median $1,698.24 Typical High $2,290.87 | Facility | None | $1,698.24 | $1,698.24 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,698.24 | $1,698.24 |
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 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $20.89 Median $25.12 Typical High $30.90 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $20.89 | $25.12 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $3,235.94 | Facility | None | $1,202.26 | $1,258.93 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $2,137.96 | Professional | None | $645.65 | $870.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $1,479.11 | Facility | None | $537.03 | $1,348.96 | $1,479.11 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $891.25 | Professional | None | $630.96 | $741.31 | $891.25 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $616.60 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $245.47 | $338.84 | $338.84 |
Where Alabama sits
The same service costs 5.6 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· 49th of 51
$631
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.