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 $3,715.35 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,715.35 | $3,981.07 | $3,981.07 |
BCBS Alabama Setting Professional Modifier 12 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $346.74 Median $346.74 Typical High $3,467.37 | Professional | 12 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 55 · Aftercare only + 99 · Multiple modifiers | $346.74 | $346.74 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $151.36 Median $251.19 Typical High $2,290.87 | Professional | None | $151.36 | $251.19 | $2,290.87 |
United Setting Professional Modifier RR · Rental Typical Low $154.88 Median $239.88 Typical High $288.40 | Professional | RR · Rental | $154.88 | $239.88 | $288.40 |
1 more rate 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 $2,818.38 Median $3,019.95 Typical High $3,019.95 | Professional | UE · Used equipment | $2,818.38 | $3,019.95 | $3,019.95 |
Where Alabama sits
The same service costs 17.0 times more in North Dakota than in Oklahoma. 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· 34th of 51
$2,399
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.