How much rates vary
Facilitymedian $550 · 10th to 90th $550 to $550Professionalmedian $158 · 10th to 90th $19 to $389
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 $25.70 Median $54.95 Typical High $389.05 | Professional | None | $25.70 | $54.95 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $17.78 Typical High $194.98 | Professional | 52 · Reduced service | $12.88 | $17.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $7.08 Typical High $77.62 | Professional | 53 · Discontinued | $5.25 | $7.08 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $5.37 Typical High $57.54 | Professional | 55 · Aftercare only | $3.89 | $5.37 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.55 Typical High $38.90 | Professional | 56 · Pre-op care only | $2.57 | $3.55 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | None | $18.20 | $18.20 | $19.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $14.13 Median $19.50 Typical High $29.51 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $14.13 | $19.50 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $48.98 Typical High $371.54 | Professional | None | $19.50 | $48.98 | $371.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $489.78 Typical High $645.65 | Facility | None | $467.74 | $489.78 | $645.65 |
United Setting Professional Modifier None Typical Low $17.78 Median $186.21 Typical High $309.03 | Professional | None | $17.78 | $186.21 | $309.03 |
Where Alabama sits
The same service costs 17.4 times more in Hawaii than in Washington, DC. 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· 11th of 51
$288
HI $457DC $26.30
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.