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 $234.42 Median $239.88 Typical High $239.88 | Professional | None | $234.42 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | RR · Rental | $36.31 | $36.31 | $48.98 |
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 $39.81 Median $39.81 Typical High $398.11 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $39.81 | $39.81 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Facility | None | $194.98 | $194.98 | $251.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.12 | Facility | RR · Rental | $19.50 | $19.50 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $208.93 | Professional | None | $165.96 | $194.98 | $208.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.50 Typical High $19.50 | Professional | RR · Rental | $16.60 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $14.13 Median $151.36 Typical High $323.59 | Professional | None | $14.13 | $151.36 | $323.59 |
United Setting Professional Modifier RR · Rental Typical Low $13.80 Median $22.91 Typical High $32.36 | Professional | RR · Rental | $13.80 | $22.91 | $32.36 |
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 UE · Used equipment Typical Low $173.78 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $173.78 | $177.83 | $177.83 |
Where Alabama sits
The same service costs 27.5 times more in Kansas 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· 41st of 51
$195
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.