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 Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $102.33 | Professional | None | $61.66 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $37.15 Typical High $51.29 | Professional | 52 · Reduced service | $30.90 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $20.89 | Professional | 53 · Discontinued | $12.30 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.22 Typical High $15.49 | Professional | 55 · Aftercare only | $9.12 | $11.22 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.41 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.17 | $7.41 | $10.23 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Alabama Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $208.93 | Professional | None | $57.54 | $89.13 | $208.93 |
United Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $93.33 | Professional | None | $30.20 | $54.95 | $93.33 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Alabama sits
The same service costs 3.0 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· 18th of 51
$85.11
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.