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 $426.58 Median $575.44 Typical High $575.44 | Professional | None | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $426.58 Typical High $426.58 | Professional | UE · Used equipment | $316.23 | $426.58 | $426.58 |
BCBS Alabama Setting Professional Modifier 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 Typical Low $57.54 Median $57.54 Typical High $575.44 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $57.54 | $57.54 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $389.05 | Professional | None | $316.23 | $371.54 | $389.05 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $31.62 | $37.15 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $512.86 | Professional | None | $208.93 | $316.23 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $24.55 Median $37.15 Typical High $57.54 | Professional | RR · Rental | $24.55 | $37.15 | $57.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $234.42 Typical High $380.19 | Professional | UE · Used equipment | $158.49 | $234.42 | $380.19 |
2 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $30.90 |
Where Alabama sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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· 39th of 51
$372
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.