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 $12.30 Median $12.30 Typical High $16.60 | Facility | None | $12.30 | $12.30 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $12.30 | Professional | None | $9.55 | $12.30 | $12.30 |
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 $7.41 Median $9.12 Typical High $10.96 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $7.41 | $9.12 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $9.12 Typical High $33.88 | Facility | None | $8.71 | $9.12 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $6.61 Typical High $61.66 | Professional | None | $5.50 | $6.61 | $61.66 |
United Setting Facility Modifier None Typical Low $3.89 Median $9.77 Typical High $31.62 | Facility | None | $3.89 | $9.77 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $8.71 | Professional | None | $4.47 | $5.37 | $8.71 |
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 $4.79 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $4.79 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $1.91 | $2.45 | $2.45 |
Where Alabama sits
The same service costs 3.4 times more in Alaska 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· 5th 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.