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 $44.67 Median $44.67 Typical High $60.26 | Facility | None | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | None | $31.62 | $44.67 | $44.67 |
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 $16.60 Median $19.95 Typical High $25.12 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $16.60 | $19.95 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $125.89 | Facility | None | $31.62 | $33.11 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $112.20 | Professional | None | $10.00 | $15.14 | $112.20 |
United Setting Facility Modifier None Typical Low $14.13 Median $35.48 Typical High $60.26 | Facility | None | $14.13 | $35.48 | $60.26 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $23.44 | Professional | None | $11.48 | $16.22 | $23.44 |
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 $15.85 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $15.85 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.46 | $8.91 | $8.91 |
Where Alabama sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 8th 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.