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 $16.60 Median $16.60 Typical High $22.39 | Facility | None | $16.60 | $16.60 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $16.60 | Professional | None | $10.72 | $16.60 | $16.60 |
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 $8.91 Median $10.72 Typical High $13.18 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $8.91 | $10.72 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $46.77 | Facility | None | $11.75 | $12.30 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $74.13 | Professional | None | $6.61 | $7.94 | $74.13 |
United Setting Facility Modifier None Typical Low $5.25 Median $12.88 Typical High $30.20 | Facility | None | $5.25 | $12.88 | $30.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $10.47 | Professional | None | $6.03 | $7.41 | $10.47 |
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 $5.89 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.89 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.34 | $3.31 | $3.31 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 18th of 51
$16.60
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.