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 $8.13 Median $8.13 Typical High $10.72 | Facility | None | $8.13 | $8.13 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $8.13 | Professional | None | $5.01 | $8.13 | $8.13 |
BCBS Alabama Setting Facility Modifier None Typical Low $8.13 Median $8.32 Typical High $8.32 | Facility | None | $8.13 | $8.32 | $8.32 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $1.66 Median $2.00 Typical High $2.40 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $1.66 | $2.00 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $5.89 Typical High $22.39 | Facility | None | $5.75 | $5.89 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $2.45 Typical High $13.49 | Professional | None | $1.48 | $2.45 | $13.49 |
United Setting Facility Modifier None Typical Low $2.51 Median $6.31 Typical High $7.08 | Facility | None | $2.51 | $6.31 | $7.08 |
United Setting Professional Modifier None Typical Low $1.95 Median $4.17 Typical High $5.62 | Professional | None | $1.95 | $4.17 | $5.62 |
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 $2.88 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $2.88 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.15 | $1.62 | $1.62 |
Where Alabama sits
The same service costs 5.4 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· 7th of 51
$8.13
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.