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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,311.31 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,311.31 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,495.41 Typical High $6,918.31 | Facility | None | $5,370.32 | $5,495.41 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,079.46 | Professional | None | $5,370.32 | $5,370.32 | $7,079.46 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
4 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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $537.03 | $537.03 | $537.03 |
Where Alabama sits
The same service costs 2.5 times more in Alaska than in Alabama. 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· 51st of 51
$3,388
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.