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 $58.88 Median $58.88 Typical High $77.62 | Facility | None | $58.88 | $58.88 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | None | $33.88 | $58.88 | $58.88 |
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 $23.44 Median $28.84 Typical High $34.67 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $23.44 | $28.84 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $162.18 | Facility | None | $41.69 | $42.66 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $22.39 Typical High $194.98 | Professional | None | $7.94 | $22.39 | $194.98 |
United Setting Facility Modifier None Typical Low $18.20 Median $45.71 Typical High $51.29 | Facility | None | $18.20 | $45.71 | $51.29 |
United Setting Professional Modifier None Typical Low $10.47 Median $21.38 Typical High $30.20 | Professional | None | $10.47 | $21.38 | $30.20 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $27.54 Median $30.20 Typical High $31.62 | Professional | GY · Excluded by law | $27.54 | $30.20 | $31.62 |
Where Alabama sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 24th of 51
$46.77
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.