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 $22.39 Median $22.39 Typical High $30.20 | Facility | None | $22.39 | $22.39 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | None | $15.85 | $22.39 | $22.39 |
BCBS Alabama Setting Facility Modifier None Typical Low $15.85 Median $16.22 Typical High $16.22 | Facility | None | $15.85 | $16.22 | $16.22 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $13.49 | $16.22 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $16.22 Typical High $61.66 | Facility | None | $15.85 | $16.22 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $109.65 | Professional | None | $10.00 | $12.02 | $109.65 |
United Setting Facility Modifier None Typical Low $6.92 Median $17.38 Typical High $60.26 | Facility | None | $6.92 | $17.38 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $15.85 | Professional | None | $8.13 | $10.00 | $15.85 |
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 $8.71 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.71 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.47 | $4.47 | $4.47 |
Where Alabama sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 43rd of 51
$15.85
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.