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 $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
BCBS Alabama Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | None | $436.52 | $446.68 | $446.68 |
BCBS Alabama Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $120.23 | Professional | None | $60.26 | $87.10 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $562.34 | Professional | None | $74.13 | $87.10 | $562.34 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $85.11 | Professional | None | $46.77 | $64.57 | $85.11 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 54 · Surgery only | $72.44 | $72.44 | $72.44 |
Where Alabama sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 17th of 51
$95.50
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.