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 Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $9.12 | Facility | None | $2.19 | $2.19 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.51 | Professional | None | $2.19 | $2.19 | $2.51 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $2.19 Typical High $2.29 | Professional | None | $1.86 | $2.19 | $2.29 |
BCBS Alabama Setting Professional Modifier 12 Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 12 | $2.19 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $2.24 Typical High $2.82 | Facility | None | $2.19 | $2.24 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $3.80 | Professional | None | $2.19 | $2.19 | $3.80 |
United Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
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 $1.10 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Where Alabama sits
The same service costs 2.7 times more in Wyoming than in Nevada. 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· 48th of 51
$2.19
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.