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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | None | $26.30 | $26.30 | $26.92 |
BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $13.80 Median $14.79 Typical High $17.78 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $13.80 | $14.79 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $36.31 Typical High $3,162.28 | Facility | None | $1.74 | $36.31 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $151.36 | Professional | None | $9.77 | $15.14 | $151.36 |
United Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $275.42 | Facility | None | $199.53 | $204.17 | $275.42 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $23.44 | Professional | None | $10.23 | $14.45 | $23.44 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Where Alabama sits
The same service costs 8.5 times more in Alaska 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· 13th 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.