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 $24.55 Median $24.55 Typical High $33.11 | Facility | None | $24.55 | $24.55 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | None | $17.38 | $24.55 | $24.55 |
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 $14.79 Median $18.20 Typical High $21.88 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $14.79 | $18.20 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $67.61 | Facility | None | $17.38 | $18.20 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $123.03 | Professional | None | $10.96 | $13.49 | $123.03 |
United Setting Facility Modifier None Typical Low $7.76 Median $19.50 Typical High $21.38 | Facility | None | $7.76 | $19.50 | $21.38 |
United Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $17.38 | Professional | None | $9.12 | $10.72 | $17.38 |
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 $9.55 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $9.55 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.80 | $4.90 | $4.90 |
Where Alabama sits
The same service costs 3.0 times more in Alaska than in Texas. 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· 39th 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.