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 $43.65 Median $43.65 Typical High $57.54 | Facility | None | $43.65 | $43.65 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $43.65 Typical High $43.65 | Professional | None | $10.47 | $43.65 | $43.65 |
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 $10.23 Median $12.30 Typical High $24.55 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $10.23 | $12.30 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $120.23 | Facility | None | $30.90 | $31.62 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $16.60 Typical High $53.70 | Professional | None | $6.76 | $16.60 | $53.70 |
United Setting Facility Modifier None Typical Low $13.49 Median $33.88 Typical High $38.02 | Facility | None | $13.49 | $33.88 | $38.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $15.85 | Professional | None | $5.01 | $6.31 | $15.85 |
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 $5.13 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $5.13 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $2.04 | $8.71 | $8.71 |
Where Alabama sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 40th of 51
$15.14
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.