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 $8.91 Median $8.91 Typical High $12.02 | Facility | None | $8.91 | $8.91 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $8.91 Typical High $8.91 | Professional | None | $4.79 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $3.63 Median $4.37 Typical High $5.37 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $3.63 | $4.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $6.61 Typical High $24.55 | Facility | None | $6.31 | $6.61 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.47 Typical High $30.20 | Professional | None | $2.69 | $3.47 | $30.20 |
United Setting Facility Modifier None Typical Low $2.82 Median $7.08 Typical High $7.76 | Facility | None | $2.82 | $7.08 | $7.76 |
United Setting Professional Modifier None Typical Low $3.31 Median $3.89 Typical High $4.68 | Professional | None | $3.31 | $3.89 | $4.68 |
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 $3.24 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $3.24 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.29 | $1.82 | $1.82 |
Where Alabama sits
The same service costs 3.5 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· 14th of 51
$8.91
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.