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 $3.63 Median $6.76 Typical High $11.75 | Professional | None | $3.63 | $6.76 | $11.75 |
BCBS Alabama Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
BCBS Alabama Setting Professional Modifier 31 Typical Low $5.50 Median $10.96 Typical High $13.80 | Professional | 31 | $5.50 | $10.96 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $8.91 Typical High $23.99 | Facility | None | $4.90 | $8.91 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.82 | Professional | None | $2.63 | $2.63 | $2.82 |
United Setting Facility Modifier None Typical Low $4.07 Median $10.23 Typical High $11.22 | Facility | None | $4.07 | $10.23 | $11.22 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.75 Typical High $5.01 | Professional | None | $2.09 | $2.75 | $5.01 |
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 52 · Reduced service Typical Low $2.34 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $2.34 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $0.93 | $2.51 | $2.51 |
Where Alabama sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 45th of 51
$3.39
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.