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 $14.79 Median $14.79 Typical High $19.50 | Facility | None | $14.79 | $14.79 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | None | $10.47 | $14.79 | $14.79 |
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 $8.32 Median $9.77 Typical High $11.75 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $8.32 | $9.77 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $10.72 Typical High $39.81 | Facility | None | $10.47 | $10.72 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $66.07 | Professional | None | $5.89 | $7.24 | $66.07 |
United Setting Facility Modifier None Typical Low $4.57 Median $11.48 Typical High $12.88 | Facility | None | $4.57 | $11.48 | $12.88 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.31 Typical High $9.55 | Professional | None | $5.37 | $6.31 | $9.55 |
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 $5.25 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $5.25 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.09 | $2.95 | $2.95 |
Where Alabama sits
The same service costs 3.2 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· 9th 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.