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 $33.11 Median $33.11 Typical High $44.67 | Facility | None | $33.11 | $33.11 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | None | $23.44 | $33.11 | $33.11 |
BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Facility | None | $18.20 | $18.62 | $18.62 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $19.95 Median $23.99 Typical High $29.51 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $19.95 | $23.99 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $24.55 Typical High $91.20 | Facility | None | $23.44 | $24.55 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $165.96 | Professional | None | $14.79 | $18.20 | $165.96 |
United Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $28.84 | Facility | None | $10.47 | $25.70 | $28.84 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $23.44 | Professional | None | $12.02 | $16.60 | $23.44 |
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 $12.88 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $6.61 | $6.61 |
Where Alabama sits
The same service costs 5.5 times more in Kansas 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.