How much rates vary
Facilitymedian $550 · 10th to 90th $550 to $550Professionalmedian $186 · 10th to 90th $21 to $407
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 $29.51 Median $39.81 Typical High $407.38 | Professional | None | $29.51 | $39.81 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $19.50 Typical High $199.53 | Professional | 52 · Reduced service | $14.79 | $19.50 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.94 Typical High $81.28 | Professional | 53 · Discontinued | $5.89 | $7.94 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.89 Typical High $60.26 | Professional | 55 · Aftercare only | $4.47 | $5.89 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.98 Typical High $40.74 | Professional | 56 · Pre-op care only | $2.95 | $3.98 | $40.74 |
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 $16.60 Median $22.39 Typical High $33.88 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $16.60 | $22.39 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $371.54 | Professional | None | $22.91 | $53.70 | $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 $19.95 Median $186.21 Typical High $309.03 | Professional | None | $19.95 | $186.21 | $309.03 |
Where Alabama sits
The same service costs 16.2 times more in Hawaii 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· 8th of 51
$295
HI $479MD $29.51
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.