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 $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | None | $64.57 | $91.20 | $91.20 |
BCBS Alabama Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $33.11 Median $40.74 Typical High $51.29 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $33.11 | $40.74 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $66.07 Typical High $251.19 | Facility | None | $64.57 | $66.07 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $223.87 | Professional | None | $20.42 | $30.20 | $223.87 |
United Setting Facility Modifier None Typical Low $28.18 Median $70.79 Typical High $79.43 | Facility | None | $28.18 | $70.79 | $79.43 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $46.77 | Professional | None | $23.44 | $33.11 | $46.77 |
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 $32.36 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $12.88 | $18.20 | $18.20 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 50th of 51
$38.02
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.