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 $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | None | $58.88 | $81.28 | $81.28 |
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 $43.65 Median $45.71 Typical High $53.70 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $43.65 | $45.71 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $223.87 | Facility | None | $57.54 | $60.26 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $295.12 | Professional | None | $26.92 | $32.36 | $295.12 |
United Setting Facility Modifier None Typical Low $25.70 Median $64.57 Typical High $70.79 | Facility | None | $25.70 | $64.57 | $70.79 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $42.66 | Professional | None | $30.20 | $30.90 | $42.66 |
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 $29.51 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $29.51 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.75 | $16.22 | $16.22 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 49th 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.