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 $44.67 Median $44.67 Typical High $67.61 | Professional | None | $44.67 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | None | $0.09 | $0.09 | $0.10 |
United Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $74.13 | Professional | None | $27.54 | $60.26 | $74.13 |
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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Professional Modifier 12 Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 12 | $28.18 | $28.18 | $28.18 |
Where Alabama sits
The same service costs 5.5 times more in Iowa than in Kansas. 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· 45th of 51
$44.67
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.