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 $38.90 Median $38.90 Typical High $52.48 | Facility | None | $38.90 | $38.90 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $38.90 | Professional | None | $22.91 | $38.90 | $38.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $22.39 | $26.30 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $109.65 | Facility | None | $26.92 | $28.84 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $38.90 | Professional | None | $13.18 | $15.49 | $38.90 |
United Setting Facility Modifier None Typical Low $12.30 Median $30.90 Typical High $33.88 | Facility | None | $12.30 | $30.90 | $33.88 |
United Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $20.89 | Professional | None | $14.45 | $16.98 | $20.89 |
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 $14.13 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $7.94 | $7.94 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 11th of 51
$38.90
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.