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 $50.12 Median $50.12 Typical High $67.61 | Facility | None | $50.12 | $50.12 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $50.12 | Professional | None | $36.31 | $50.12 | $50.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $162.18 | Facility | None | $158.49 | $162.18 | $162.18 |
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 $35.48 Median $37.15 Typical High $141.25 | Facility | None | $35.48 | $37.15 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $102.33 | Professional | None | $9.33 | $13.80 | $102.33 |
United Setting Facility Modifier None Typical Low $15.85 Median $39.81 Typical High $43.65 | Facility | None | $15.85 | $39.81 | $43.65 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $26.30 | Professional | None | $12.59 | $18.62 | $26.30 |
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 $18.20 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $18.20 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $7.24 | $10.23 | $10.23 |
Where Alabama sits
The same service costs 5.6 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· 8th of 51
$50.12
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.