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 $40.74 Median $40.74 Typical High $54.95 | Facility | None | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | None | $28.84 | $40.74 | $40.74 |
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 $22.91 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $9.12 | $11.22 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $29.51 Typical High $112.20 | Facility | None | $28.84 | $29.51 | $112.20 |
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 $12.59 Median $31.62 Typical High $35.48 | Facility | None | $12.59 | $31.62 | $35.48 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $21.38 | Professional | None | $8.32 | $14.79 | $21.38 |
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 $14.45 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $14.45 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.75 | $8.13 | $8.13 |
Where Alabama sits
The same service costs 5.6 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· 7th 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.