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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $31.62 | Professional | None | $20.89 | $30.20 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $14.13 | $16.98 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $44.67 Typical High $3,162.28 | Facility | None | $2.69 | $44.67 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $17.38 Typical High $173.78 | Professional | None | $11.75 | $17.38 | $173.78 |
United Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $575.44 | Facility | None | $416.87 | $436.52 | $575.44 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $26.92 | Professional | None | $12.88 | $16.98 | $26.92 |
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 $15.14 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.31 |
Where Alabama sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 21st of 51
$35.48
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.