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 $13.49 Median $13.49 Typical High $18.20 | Facility | None | $13.49 | $13.49 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Professional | None | $9.55 | $13.49 | $13.49 |
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 $5.75 Median $7.08 Typical High $8.51 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $5.75 | $7.08 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $10.00 Typical High $37.15 | Facility | None | $9.55 | $10.00 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $47.86 | Professional | None | $4.27 | $5.25 | $47.86 |
United Setting Facility Modifier None Typical Low $4.27 Median $10.47 Typical High $18.20 | Facility | None | $4.27 | $10.47 | $18.20 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $7.08 | Professional | None | $4.90 | $5.89 | $7.08 |
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 $4.79 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $4.79 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $1.95 | $2.69 | $2.69 |
Where Alabama sits
The same service costs 3.4 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· 6th of 51
$16.60
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.