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 $371.54 Median $371.54 Typical High $501.19 | Facility | None | $371.54 | $371.54 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | None | $288.40 | $371.54 | $371.54 |
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 $208.93 Median $257.04 Typical High $309.03 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 52 · Reduced service | $208.93 | $257.04 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $1,023.29 | Facility | None | $263.03 | $275.42 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $1,819.70 | Professional | None | $165.96 | $194.98 | $1,819.70 |
United Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $323.59 | Facility | None | $117.49 | $288.40 | $323.59 |
United Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $251.19 | Professional | None | $134.90 | $173.78 | $251.19 |
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 $144.54 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $74.13 | $74.13 |
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
$135
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.