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 $123.03 Median $123.03 Typical High $162.18 | Facility | None | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | None | $87.10 | $123.03 | $123.03 |
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 $53.70 Median $66.07 Typical High $69.18 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $53.70 | $66.07 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $338.84 | Facility | None | $87.10 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $363.08 | Professional | None | $33.11 | $45.71 | $363.08 |
United Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $107.15 | Facility | None | $38.02 | $95.50 | $107.15 |
United Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $63.10 | Professional | None | $44.67 | $48.98 | $63.10 |
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 $43.65 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $24.55 | $24.55 |
Where Alabama sits
The same service costs 6.2 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
$38.90
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.