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 $407.38 Median $407.38 Typical High $549.54 | Facility | None | $407.38 | $407.38 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $407.38 | Professional | None | $316.23 | $407.38 | $407.38 |
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 $234.42 Median $281.84 Typical High $346.74 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 52 · Reduced service | $234.42 | $281.84 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $1,148.15 | Facility | None | $288.40 | $302.00 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $2,041.74 | Professional | None | $181.97 | $213.80 | $2,041.74 |
United Setting Facility Modifier None Typical Low $128.82 Median $323.59 Typical High $354.81 | Facility | None | $128.82 | $323.59 | $354.81 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $275.42 | Professional | None | $151.36 | $194.98 | $275.42 |
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 $158.49 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $63.10 | $83.18 | $83.18 |
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
$151
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.