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 $79.43 Median $79.43 Typical High $107.15 | Facility | None | $79.43 | $79.43 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $79.43 | Professional | None | $50.12 | $79.43 | $79.43 |
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 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $44.67 Median $102.33 Typical High $125.89 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $44.67 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $218.78 | Facility | None | $56.23 | $58.88 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $100.00 | Professional | None | $30.20 | $40.74 | $100.00 |
United Setting Facility Modifier None Typical Low $25.12 Median $63.10 Typical High $69.18 | Facility | None | $25.12 | $63.10 | $69.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | None | $29.51 | $34.67 | $41.69 |
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 $29.51 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $29.51 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $11.75 | $15.85 | $15.85 |
Where Alabama sits
The same service costs 3.7 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· 28th 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.