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 $11.75 Median $11.75 Typical High $15.85 | Facility | None | $11.75 | $11.75 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $11.75 | Professional | None | $8.32 | $11.75 | $11.75 |
BCBS Alabama Setting Facility Modifier None Typical Low $5.37 Median $5.50 Typical High $5.50 | Facility | None | $5.37 | $5.50 | $5.50 |
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 $8.51 Typical High $10.47 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $7.08 | $8.51 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.71 Typical High $31.62 | Facility | None | $8.32 | $8.71 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.31 Typical High $58.88 | Professional | None | $5.25 | $6.31 | $58.88 |
United Setting Facility Modifier None Typical Low $3.63 Median $9.12 Typical High $10.23 | Facility | None | $3.63 | $9.12 | $10.23 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $8.32 | Professional | None | $4.27 | $5.13 | $8.32 |
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 $4.57 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $4.57 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $1.82 | $2.34 | $2.34 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 51st of 51
$5.50
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.