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 $109.65 Median $109.65 Typical High $147.91 | Facility | None | $109.65 | $109.65 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $109.65 | Professional | None | $66.07 | $109.65 | $109.65 |
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 + 31 + 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $77.62 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 52 · Reduced service | $52.48 | $64.57 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $302.00 | Facility | None | $77.62 | $81.28 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $457.09 | Professional | None | $41.69 | $48.98 | $457.09 |
United Setting Facility Modifier None Typical Low $34.67 Median $85.11 Typical High $95.50 | Facility | None | $34.67 | $85.11 | $95.50 |
United Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $61.66 | Professional | None | $39.81 | $47.86 | $61.66 |
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 $38.90 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $38.90 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $15.85 | $21.88 | $21.88 |
Where Alabama sits
The same service costs 5.4 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
$39.81
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.