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 $33.88 Median $38.90 Typical High $38.90 | Facility | None | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | None | $27.54 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $23.44 | Professional | None | $20.42 | $22.39 | $23.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $20.42 Median $24.55 Typical High $30.20 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $20.42 | $24.55 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $28.84 Typical High $107.15 | Facility | None | $27.54 | $28.84 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $194.98 | Professional | None | $17.38 | $20.89 | $194.98 |
United Setting Facility Modifier None Typical Low $12.30 Median $30.20 Typical High $33.88 | Facility | None | $12.30 | $30.20 | $33.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $23.99 | Professional | None | $14.13 | $16.98 | $23.99 |
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 $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $15.14 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $7.76 | $7.76 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 17th of 51
$38.90
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.