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 $52.48 Median $77.62 Typical High $77.62 | Professional | None | $52.48 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $26.30 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $10.47 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $7.94 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.25 | $7.76 | $7.76 |
BCBS Alabama Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $46.77 | Facility | None | $33.88 | $34.67 | $46.77 |
United Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $54.95 | Professional | None | $39.81 | $44.67 | $54.95 |
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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Professional Modifier 12 Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 12 | $52.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 2.6 times more in Alaska than in Utah. 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· 25th of 51
$60.26
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.