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 $5.37 Median $5.89 Typical High $5.89 | Facility | None | $5.37 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
BCBS Alabama Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $6.17 Median $8.51 Typical High $8.51 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $6.17 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $5.01 Typical High $5.37 | Professional | None | $3.98 | $5.01 | $5.37 |
United Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $6.03 | Facility | None | $4.79 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $9.12 | Professional | None | $4.47 | $5.62 | $9.12 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | GO · Occupational therapy plan | $4.37 | $4.37 | $4.37 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $4.37 Median $4.37 Typical High $6.61 | Professional | GP · Physical therapy plan | $4.37 | $4.37 | $6.61 |
Where Alabama sits
The same service costs 2.6 times more in North Dakota than in Missouri. 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· 38th of 51
$5.89
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.