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 $25.12 Median $25.12 Typical High $33.88 | Facility | None | $25.12 | $25.12 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $25.12 | Professional | None | $17.78 | $25.12 | $25.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $9.33 Median $11.48 Typical High $14.13 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $9.33 | $11.48 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $18.62 Typical High $69.18 | Facility | None | $17.78 | $18.62 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $100.00 | Professional | None | $9.12 | $10.96 | $100.00 |
United Setting Facility Modifier None Typical Low $7.94 Median $19.50 Typical High $21.88 | Facility | None | $7.94 | $19.50 | $21.88 |
United Setting Professional Modifier None Typical Low $8.51 Median $9.12 Typical High $14.45 | Professional | None | $8.51 | $9.12 | $14.45 |
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 $8.91 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $8.91 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $3.63 | $5.01 | $5.01 |
Where Alabama sits
The same service costs 4.7 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
$10.47
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.