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 $69.18 Median $69.18 Typical High $93.33 | Facility | None | $69.18 | $69.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $69.18 | Professional | None | $50.12 | $69.18 | $69.18 |
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 $9.12 Median $11.22 Typical High $39.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $9.12 | $11.22 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $194.98 | Facility | None | $48.98 | $51.29 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $69.18 | Professional | None | $6.17 | $9.12 | $69.18 |
United Setting Facility Modifier None Typical Low $21.88 Median $54.95 Typical High $60.26 | Facility | None | $21.88 | $54.95 | $60.26 |
United Setting Professional Modifier None Typical Low $8.32 Median $25.70 Typical High $36.31 | Professional | None | $8.32 | $25.70 | $36.31 |
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 $25.12 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $25.12 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.00 | $14.13 | $14.13 |
Where Alabama sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 30th of 51
$39.81
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.