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 $1,584.89 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,949.84 | $1,949.84 |
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 $354.81 Median $354.81 Typical High $3,548.13 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $354.81 | $354.81 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $316.23 | Professional | None | $257.04 | $302.00 | $316.23 |
United Setting Professional Modifier None Typical Low $102.33 Median $281.84 Typical High $2,290.87 | Professional | None | $102.33 | $281.84 | $2,290.87 |
4 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 UE · Used equipment Typical Low $1,174.90 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,174.90 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | UE · Used equipment | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier RR · Rental Typical Low $87.10 Median $194.98 Typical High $275.42 | Professional | RR · Rental | $87.10 | $194.98 | $275.42 |
Where Alabama sits
The same service costs 20.9 times more in South Carolina than in Illinois. 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· 46th of 51
$302
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.