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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $177.83 | Professional | None | $70.79 | $147.91 | $177.83 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $102.33 Median $141.25 Typical High $194.98 | Professional | 32 · Mandated service | $102.33 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $302.00 | Facility | None | $147.91 | $269.15 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $134.90 Typical High $165.96 | Professional | None | $63.10 | $134.90 | $165.96 |
United Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $323.59 | Facility | None | $234.42 | $239.88 | $323.59 |
United Setting Professional Modifier None Typical Low $57.54 Median $128.82 Typical High $186.21 | Professional | None | $57.54 | $128.82 | $186.21 |
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 $35.48 Median $51.29 Typical High $89.13 | Professional | 52 · Reduced service | $35.48 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $20.42 Typical High $35.48 | Professional | 53 · Discontinued | $14.13 | $20.42 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | 54 · Surgery only | $53.70 | $77.62 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.49 Typical High $26.92 | Professional | 55 · Aftercare only | $10.72 | $15.49 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.23 Typical High $17.78 | Professional | 56 · Pre-op care only | $7.08 | $10.23 | $17.78 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 28th of 51
$155
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.