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 $11.48 Median $11.48 Typical High $15.49 | Facility | None | $11.48 | $11.48 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | None | $8.32 | $11.48 | $11.48 |
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 $5.37 Median $6.46 Typical High $7.94 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $5.37 | $6.46 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.51 Typical High $31.62 | Facility | None | $8.13 | $8.51 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $43.65 | Professional | None | $3.89 | $4.79 | $43.65 |
United Setting Facility Modifier None Typical Low $3.63 Median $9.12 Typical High $10.00 | Facility | None | $3.63 | $9.12 | $10.00 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $6.31 | Professional | None | $4.27 | $4.47 | $6.31 |
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 $4.17 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $4.17 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.66 | $2.29 | $2.29 |
Where Alabama sits
The same service costs 5.4 times more in Kansas 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· 6th of 51
$14.45
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.