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 $23.99 Median $23.99 Typical High $32.36 | Facility | None | $23.99 | $23.99 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $23.99 | Professional | None | $16.98 | $23.99 | $23.99 |
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 $17.78 Typical High $21.38 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $14.79 | $17.78 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $67.61 | Facility | None | $16.98 | $17.78 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $120.23 | Professional | None | $10.72 | $13.18 | $120.23 |
United Setting Facility Modifier None Typical Low $7.59 Median $19.05 Typical High $60.26 | Facility | None | $7.59 | $19.05 | $60.26 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $17.38 | Professional | None | $8.91 | $12.02 | $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 $9.33 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $9.33 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.72 | $4.79 | $4.79 |
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· 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.