How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,737.80 | $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 $436.52 Median $436.52 Typical High $4,365.16 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $436.52 | $436.52 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | RR · Rental | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier RR · Rental Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $147.91 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $95.50 Median $457.09 Typical High $2,511.89 | Professional | None | $95.50 | $457.09 | $2,511.89 |
United Setting Professional Modifier RR · Rental Typical Low $95.50 Median $190.55 Typical High $295.12 | Professional | RR · Rental | $95.50 | $190.55 | $295.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,318.26 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Where Alabama sits
The same service costs 28.8 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· 22nd of 51
$1,862
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.