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 $38.02 Median $58.88 Typical High $58.88 | Professional | None | $38.02 | $58.88 | $58.88 |
Aetna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $29.51 | $43.65 | $43.65 |
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 $7.94 Median $7.94 Typical High $79.43 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $7.94 | $7.94 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $52.48 | Professional | None | $41.69 | $48.98 | $52.48 |
United Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $60.26 | Professional | None | $30.90 | $40.74 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.89 Typical High $5.75 | Professional | RR · Rental | $3.09 | $3.89 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $29.51 Typical High $43.65 | Professional | UE · Used equipment | $22.91 | $29.51 | $43.65 |
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 MS · Maintenance fee Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | MS · Maintenance fee | $5.89 | $5.89 | $5.89 |
Where Alabama sits
The same service costs 2.5 times more in Hawaii 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· 42nd of 51
$48.98
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.