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 $25.70 Median $25.70 Typical High $34.67 | Facility | None | $25.70 | $25.70 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $25.70 | Professional | None | $14.79 | $25.70 | $25.70 |
BCBS Alabama Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Facility | None | $18.20 | $18.62 | $18.62 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $13.49 | $16.22 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $70.79 | Facility | None | $18.20 | $19.05 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $109.65 | Professional | None | $10.00 | $12.02 | $109.65 |
United Setting Facility Modifier None Typical Low $8.13 Median $19.95 Typical High $22.39 | Facility | None | $8.13 | $19.95 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $15.85 | Professional | None | $9.33 | $11.22 | $15.85 |
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 $9.12 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.72 | $5.13 | $5.13 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in New York. 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· 34th of 51
$18.20
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.