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 $41.69 Median $41.69 Typical High $56.23 | Facility | None | $41.69 | $41.69 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | None | $34.67 | $41.69 | $41.69 |
BCBS Alabama Setting Facility Modifier None Typical Low $6.17 Median $6.31 Typical High $6.31 | Facility | None | $6.17 | $6.31 | $6.31 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $34.67 Median $47.86 Typical High $57.54 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $34.67 | $47.86 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $30.90 Typical High $117.49 | Facility | None | $29.51 | $30.90 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $323.59 | Professional | None | $19.50 | $34.67 | $323.59 |
United Setting Facility Modifier None Typical Low $13.18 Median $33.11 Typical High $36.31 | Facility | None | $13.18 | $33.11 | $36.31 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $45.71 | Professional | None | $15.49 | $21.88 | $45.71 |
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 $17.38 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $17.38 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $8.32 | $8.32 |
Where Alabama sits
The same service costs 10.2 times more in Kansas 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
$15.49
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.