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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | None | $28.18 | $32.36 | $32.36 |
BCBS Alabama Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $33.11 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $25.70 | Professional | None | $13.18 | $15.49 | $25.70 |
United Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $33.88 | Facility | None | $26.92 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $33.11 | Professional | None | $23.44 | $30.20 | $33.11 |
1 more rate 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 GP · Physical therapy plan Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | GP · Physical therapy plan | $19.50 | $33.11 | $33.11 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 23rd of 51
$32.36
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.