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 $10.00 Median $10.00 Typical High $16.98 | Professional | None | $10.00 | $10.00 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.48 Typical High $2.51 | Professional | 55 · Aftercare only | $1.48 | $1.48 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.70 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | None | $16.98 | $16.98 | $21.38 |
United Setting Professional Modifier None Typical Low $6.92 Median $17.38 Typical High $28.84 | Professional | None | $6.92 | $17.38 | $28.84 |
Where Alabama sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 51st of 51
$10.00
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.