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 $20.89 Median $23.99 Typical High $23.99 | Facility | None | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $24.55 | Professional | None | $13.80 | $23.99 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $28.18 | Professional | None | $10.47 | $12.59 | $28.18 |
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 $10.00 Median $12.30 Typical High $14.79 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $10.00 | $12.30 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $66.07 | Facility | None | $16.98 | $17.78 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $117.49 | Professional | None | $10.72 | $12.88 | $117.49 |
United Setting Facility Modifier None Typical Low $7.41 Median $18.62 Typical High $20.89 | Facility | None | $7.41 | $18.62 | $20.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $14.79 | Professional | None | $8.71 | $10.47 | $14.79 |
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 $9.33 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $9.33 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.72 | $4.79 | $4.79 |
Where Alabama sits
The same service costs 3.2 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
$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.