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 $10.00 Median $10.00 Typical High $13.49 | Facility | None | $10.00 | $10.00 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $10.00 | Professional | None | $5.89 | $10.00 | $10.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
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 $6.92 Typical High $8.51 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $5.75 | $6.92 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.41 Typical High $27.54 | Facility | None | $7.08 | $7.41 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $46.77 | Professional | None | $4.17 | $5.13 | $46.77 |
United Setting Facility Modifier None Typical Low $3.16 Median $7.94 Typical High $23.99 | Facility | None | $3.16 | $7.94 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $6.76 | Professional | None | $3.72 | $4.68 | $6.76 |
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 $3.72 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $3.72 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.48 | $2.04 | $2.04 |
Where Alabama sits
The same service costs 3.5 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· 39th of 51
$7.08
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.