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 $12.02 Median $12.02 Typical High $15.85 | Facility | None | $12.02 | $12.02 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $12.02 | Professional | None | $8.71 | $12.02 | $12.02 |
BCBS Alabama Setting Facility Modifier None Typical Low $13.80 Median $14.13 Typical High $14.13 | Facility | None | $13.80 | $14.13 | $14.13 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $6.76 Median $8.32 Typical High $10.00 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $6.76 | $8.32 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $8.71 Typical High $33.11 | Facility | None | $8.51 | $8.71 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $56.23 | Professional | None | $5.13 | $6.17 | $56.23 |
United Setting Facility Modifier None Typical Low $3.72 Median $9.33 Typical High $10.47 | Facility | None | $3.72 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $8.13 | Professional | None | $4.37 | $5.25 | $8.13 |
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 $4.37 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $4.37 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $1.78 | $2.40 | $2.40 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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
$13.80
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.