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 Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | None | $23,988.33 | $23,988.33 | $23,988.33 |
BCBS Alabama Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,466.84 Typical High $11,220.18 | Facility | None | $501.19 | $4,466.84 | $11,220.18 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $17,378.01 | Facility | None | $371.54 | $977.24 | $17,378.01 |
5 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | 52 · Reduced service | $12,022.64 | $12,022.64 | $12,022.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | 53 · Discontinued | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | 54 · Surgery only | $17,782.79 | $17,782.79 | $17,782.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | 55 · Aftercare only | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 56 · Pre-op care only | $2,398.83 | $2,398.83 | $2,398.83 |
Where Alabama sits
The same service costs 6025.6 times more in Oklahoma than in Maine. 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· 8th of 51
$12,589
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.