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 $38.90 Median $44.67 Typical High $58.88 | Facility | None | $38.90 | $44.67 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $44.67 Typical High $44.67 | Professional | None | $20.42 | $44.67 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $38.90 | Professional | None | $25.70 | $26.92 | $38.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Facility | None | $18.20 | $18.62 | $18.62 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $26.92 Median $32.36 Typical High $39.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $26.92 | $32.36 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $123.03 | Facility | None | $31.62 | $32.36 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $218.78 | Professional | None | $19.95 | $23.99 | $218.78 |
United Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $104.71 | Facility | None | $13.80 | $34.67 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $31.62 | Professional | None | $16.22 | $21.88 | $31.62 |
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 $16.98 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $16.98 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.92 | $8.91 | $8.91 |
Where Alabama sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 51st of 51
$18.62
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.