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 $74.13 Median $74.13 Typical High $100.00 | Facility | None | $74.13 | $74.13 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $74.13 Typical High $74.13 | Professional | None | $32.36 | $74.13 | $74.13 |
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 $27.54 Median $33.11 Typical High $40.74 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $27.54 | $33.11 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $53.70 Typical High $204.17 | Facility | None | $52.48 | $53.70 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $223.87 | Professional | None | $20.42 | $28.18 | $223.87 |
United Setting Facility Modifier None Typical Low $22.91 Median $57.54 Typical High $64.57 | Facility | None | $22.91 | $57.54 | $64.57 |
United Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $38.90 | Professional | None | $22.91 | $26.92 | $38.90 |
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 $26.30 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $10.47 | $14.79 | $14.79 |
Where Alabama sits
The same service costs 6.0 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
$23.99
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.