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 $1,096.48 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,862.09 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,388.44 | $3,467.37 | $3,467.37 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $295.12 Median $741.31 Typical High $1,258.93 | Professional | None (both parts) | $295.12 | $741.31 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $2,290.87 | Facility | None | $199.53 | $549.54 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $446.68 Typical High $524.81 | Professional | 26 · Professional part | $380.19 | $446.68 | $524.81 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $6,309.57 | Facility | None | $1,202.26 | $3,090.30 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $234.42 | $316.23 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $436.52 | Professional | 26 · Professional part | $234.42 | $316.23 | $436.52 |
5 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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 23.4 times more in Colorado than in Kentucky. 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· 29th of 51
$933
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.