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 $26.30 Median $26.30 Typical High $34.67 | Facility | None | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | None | $18.20 | $26.30 | $26.30 |
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 $15.85 Median $19.05 Typical High $22.91 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $15.85 | $19.05 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $72.44 | Facility | None | $18.20 | $19.05 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $128.82 | Professional | None | $11.48 | $14.13 | $128.82 |
United Setting Facility Modifier None Typical Low $8.13 Median $20.42 Typical High $75.86 | Facility | None | $8.13 | $20.42 | $75.86 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $18.62 | Professional | None | $9.55 | $12.88 | $18.62 |
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 $10.00 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $5.25 | $5.25 |
Where Alabama sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 41st of 51
$18.62
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.