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 $23.44 Median $23.44 Typical High $31.62 | Facility | None | $23.44 | $23.44 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $23.44 | Professional | None | $16.60 | $23.44 | $23.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $14.13 | $16.98 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $64.57 | Facility | None | $16.60 | $17.38 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $117.49 | Professional | None | $10.47 | $12.88 | $117.49 |
United Setting Facility Modifier None Typical Low $7.41 Median $18.20 Typical High $20.42 | Facility | None | $7.41 | $18.20 | $20.42 |
United Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $16.60 | Professional | None | $8.51 | $11.75 | $16.60 |
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 $9.12 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $9.12 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.63 | $4.68 | $4.68 |
Where Alabama sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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· 17th of 51
$23.99
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.