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 $64.57 Median $74.13 Typical High $100.00 | Facility | None | $64.57 | $74.13 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | None | $52.48 | $74.13 | $74.13 |
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 $44.67 Median $53.70 Typical High $66.07 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $44.67 | $53.70 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $54.95 Typical High $204.17 | Facility | None | $52.48 | $54.95 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $363.08 | Professional | None | $33.11 | $39.81 | $363.08 |
United Setting Facility Modifier None Typical Low $23.44 Median $57.54 Typical High $64.57 | Facility | None | $23.44 | $57.54 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $52.48 | Professional | None | $26.92 | $37.15 | $52.48 |
3 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 $28.84 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $28.84 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $11.48 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 90 · Outside lab | $42.66 | $42.66 | $42.66 |
Where Alabama sits
The same service costs 3.8 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· 23rd of 51
$74.13
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.