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 $30.20 Median $30.20 Typical High $40.74 | Facility | None | $30.20 | $30.20 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | None | $20.42 | $30.20 | $30.20 |
BCBS Alabama Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Facility | None | $41.69 | $42.66 | $42.66 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $19.95 Median $25.70 Typical High $48.98 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $19.95 | $25.70 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $83.18 | Facility | None | $21.38 | $22.39 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $60.26 | Professional | None | $20.42 | $22.91 | $60.26 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $33.11 | Professional | None | $15.85 | $26.30 | $33.11 |
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 $10.00 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $10.00 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $6.03 | $6.03 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$41.69
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.