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 $38.02 Median $38.02 Typical High $50.12 | Facility | None | $38.02 | $38.02 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $38.02 Typical High $38.02 | Professional | None | $21.88 | $38.02 | $38.02 |
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 $21.38 Typical High $24.55 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $20.42 | $21.38 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $27.54 Typical High $104.71 | Facility | None | $26.92 | $27.54 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $138.04 | Professional | None | $12.30 | $14.45 | $138.04 |
United Setting Facility Modifier None Typical Low $11.75 Median $29.51 Typical High $33.11 | Facility | None | $11.75 | $29.51 | $33.11 |
United Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | None | $13.80 | $16.22 | $19.50 |
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 $13.49 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $13.49 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $5.37 | $7.59 | $7.59 |
Where Alabama sits
The same service costs 3.8 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· 9th 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.