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 $40.74 Median $40.74 Typical High $54.95 | Facility | None | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $40.74 Typical High $40.74 | Professional | None | $23.44 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
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 $7.08 Median $8.71 Typical High $10.47 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $7.08 | $8.71 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $29.51 Typical High $112.20 | Facility | None | $28.84 | $29.51 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $199.53 | Professional | None | $18.20 | $21.88 | $199.53 |
United Setting Facility Modifier None Typical Low $12.59 Median $31.62 Typical High $48.98 | Facility | None | $12.59 | $31.62 | $48.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $21.38 | Professional | None | $7.94 | $14.79 | $21.38 |
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 $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $8.13 | $8.13 |
Where Alabama sits
The same service costs 4.3 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· 50th of 51
$18.62
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.