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 $20.89 Median $20.89 Typical High $28.18 | Facility | None | $20.89 | $20.89 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $20.89 | Professional | None | $10.96 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $5.89 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $2.34 | $4.17 | $4.17 |
BCBS Alabama Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $14.79 Typical High $57.54 | Facility | None | $14.13 | $14.79 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $83.18 | Professional | None | $6.61 | $8.13 | $83.18 |
United Setting Facility Modifier None Typical Low $6.61 Median $16.60 Typical High $18.62 | Facility | None | $6.61 | $16.60 | $18.62 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $16.22 | Professional | None | $9.12 | $12.59 | $16.22 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $12.30 Median $15.85 Typical High $15.85 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $12.30 | $15.85 | $15.85 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in New Jersey. 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· 11th of 51
$25.12
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.