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 $24.55 Median $24.55 Typical High $33.11 | Facility | None | $24.55 | $24.55 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | None | $17.38 | $24.55 | $24.55 |
BCBS Alabama Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Facility | None | $18.20 | $18.62 | $18.62 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $13.80 | $16.22 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.78 Typical High $67.61 | Facility | None | $17.38 | $17.78 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $109.65 | Professional | None | $9.77 | $11.75 | $109.65 |
United Setting Facility Modifier None Typical Low $7.59 Median $19.05 Typical High $21.38 | Facility | None | $7.59 | $19.05 | $21.38 |
United Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $15.49 | Professional | None | $8.91 | $10.72 | $15.49 |
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 $8.71 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.47 | $4.90 | $4.90 |
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· 31st of 51
$18.20
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.