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 Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $165.96 | Professional | None | $114.82 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $57.54 | $70.79 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | None | $173.78 | $204.17 | $204.17 |
BCBS Alabama Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
BCBS Alabama Setting Professional Modifier 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform Typical Low $83.18 Median $112.20 Typical High $147.91 | Professional | 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform | $83.18 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $223.87 | Professional | None | $93.33 | $134.90 | $223.87 |
United Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $213.80 | Facility | None | $154.88 | $162.18 | $213.80 |
United Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $194.98 | Professional | None | $100.00 | $141.25 | $194.98 |
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 25 · Same-day visit Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 25 · Same-day visit | $173.78 | $173.78 | $204.17 |
Where Alabama sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 39th of 51
$151
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.