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 $100.00 Median $100.00 Typical High $134.90 | Facility | None | $100.00 | $100.00 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $100.00 | Professional | None | $72.44 | $100.00 | $100.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $47.86 | Facility | None | $46.77 | $47.86 | $47.86 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $53.70 Median $57.54 Typical High $66.07 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $53.70 | $57.54 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $281.84 | Facility | None | $70.79 | $74.13 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $363.08 | Professional | None | $33.11 | $39.81 | $363.08 |
United Setting Facility Modifier None Typical Low $31.62 Median $79.43 Typical High $87.10 | Facility | None | $31.62 | $79.43 | $87.10 |
United Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $52.48 | Professional | None | $37.15 | $41.69 | $52.48 |
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 $36.31 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $36.31 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $20.42 | $20.42 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 51st of 51
$47.86
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.