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 $2,570.40 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,570.40 | $2,691.53 | $3,630.78 |
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 $363.08 Median $363.08 Typical High $3,630.78 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $363.08 | $363.08 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,019.95 | Facility | None | $2,290.87 | $2,290.87 | $3,019.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $302.00 | Facility | RR · Rental | $229.09 | $229.09 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,290.87 | $3,235.94 |
Cigna Setting Professional Modifier RR · Rental Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $194.98 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,737.80 | $2,570.40 |
United Setting Professional Modifier RR · Rental Typical Low $138.04 Median $213.80 Typical High $338.84 | Professional | RR · Rental | $138.04 | $213.80 | $338.84 |
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 $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $1,949.84 | $2,041.74 | $2,041.74 |
Where Alabama sits
The same service costs 10.7 times more in Kansas than in Montana. 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· 28th of 51
$2,291
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.