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 $25.70 Median $25.70 Typical High $33.88 | Facility | None | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $25.70 | Professional | None | $10.96 | $25.70 | $25.70 |
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 Typical Low $12.59 Median $15.14 Typical High $18.62 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $12.59 | $15.14 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $70.79 | Facility | None | $18.20 | $18.62 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $102.33 | Professional | None | $9.33 | $11.22 | $102.33 |
United Setting Facility Modifier None Typical Low $7.94 Median $19.95 Typical High $22.39 | Facility | None | $7.94 | $19.95 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $14.79 | Professional | None | $9.33 | $10.96 | $14.79 |
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 $9.12 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.63 | $5.13 | $5.13 |
Where Alabama sits
The same service costs 5.0 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· 41st of 51
$17.78
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.