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 $16.22 Median $16.22 Typical High $21.88 | Facility | None | $16.22 | $16.22 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $16.22 Typical High $16.22 | Professional | None | $9.33 | $16.22 | $16.22 |
BCBS Alabama Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $4.17 Median $5.01 Typical High $6.17 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $4.17 | $5.01 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $12.02 Typical High $44.67 | Facility | None | $11.48 | $12.02 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $4.57 Typical High $34.67 | Professional | None | $3.09 | $4.57 | $34.67 |
United Setting Facility Modifier None Typical Low $5.13 Median $10.47 Typical High $14.13 | Facility | None | $5.13 | $10.47 | $14.13 |
United Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $8.51 | Professional | None | $4.57 | $5.89 | $8.51 |
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 $5.75 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $5.75 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.29 | $3.24 | $3.24 |
Where Alabama sits
The same service costs 4.9 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· 9th of 51
$16.22
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.