How much rates vary
Professionalmedian $138 · 10th to 90th $85 to $229
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 $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $20.89 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $20.89 |
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 $165.96 Median $165.96 Typical High $165.96 | 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 | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None | $120.23 | $120.23 | $147.91 |
United Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $229.09 | Professional | None | $85.11 | $186.21 | $229.09 |
Where Alabama sits
The same service costs 3.3 times more in Iowa than in New York. 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
$138
IA $282NY $85.11
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.