How much rates vary
Professionalmedian $19 · 10th to 90th $12 to $32
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 $19.05 Median $19.05 Typical High $29.51 | Professional | None | $19.05 | $19.05 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $4.47 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.95 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | None | $21.38 | $21.38 | $26.92 |
United Setting Professional Modifier None Typical Low $12.02 Median $26.30 Typical High $32.36 | Professional | None | $12.02 | $26.30 | $32.36 |
Where Alabama sits
The same service costs 3.5 times more in Montana 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· 48th of 51
$19.05
MT $43.65NY $12.59
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.