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 $31.62 Median $43.65 Typical High $63.10 | Facility | None | $31.62 | $43.65 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $57.54 | Professional | None | $28.84 | $43.65 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $72.44 | Professional | None | $38.90 | $58.88 | $72.44 |
BCBS Alabama Setting Professional Modifier None Typical Low $40.74 Median $95.50 Typical High $147.91 | Professional | None | $40.74 | $95.50 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $151.36 | Facility | None | $114.82 | $134.90 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $67.61 | Professional | None | $41.69 | $51.29 | $67.61 |
United Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $75.86 | Professional | None | $38.90 | $53.70 | $75.86 |
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 $19.05 Median $25.70 Typical High $28.84 | Professional | 52 · Reduced service | $19.05 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.76 Typical High $8.71 | Professional | 55 · Aftercare only | $5.75 | $7.76 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.13 Typical High $5.75 | Professional | 56 · Pre-op care only | $3.80 | $5.13 | $5.75 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.90 Median $64.57 Typical High $69.18 | Professional | 25 · Same-day visit | $38.90 | $64.57 | $69.18 |
BCBS Alabama Setting Professional Modifier 10 Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | 10 | $41.69 | $57.54 | $81.28 |
Where Alabama sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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· 50th of 51
$48.98
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.