How much rates vary
Professionalmedian $2 · 10th to 90th $2 to $7
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 $2.04 Median $2.04 Typical High $3.89 | Professional | None | $2.04 | $2.04 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.59 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.39 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $2.00 | Professional | None | $1.62 | $1.62 | $2.00 |
United Setting Professional Modifier None Typical Low $1.58 Median $3.98 Typical High $8.13 | Professional | None | $1.58 | $3.98 | $8.13 |
Where Alabama sits
The same service costs 5.2 times more in Kansas than in Delaware. 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
$2.04
KS $8.71DE $1.66
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.