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 $93.33 Median $93.33 Typical High $125.89 | Facility | None | $93.33 | $93.33 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $93.33 Typical High $93.33 | Professional | None | $40.74 | $93.33 | $93.33 |
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 $45.71 Median $54.95 Typical High $66.07 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 52 · Reduced service | $45.71 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $263.03 | Facility | None | $66.07 | $69.18 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $389.05 | Professional | None | $35.48 | $41.69 | $389.05 |
United Setting Facility Modifier None Typical Low $29.51 Median $74.13 Typical High $81.28 | Facility | None | $29.51 | $74.13 | $81.28 |
United Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $53.70 | Professional | None | $34.67 | $40.74 | $53.70 |
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 $33.88 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $18.62 | $18.62 |
Where Alabama sits
The same service costs 4.9 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
$38.02
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.