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 $4,786.30 Median $7,079.46 Typical High $7,079.46 | Professional | None | $4,786.30 | $7,079.46 | $7,079.46 |
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 $512.86 Median $512.86 Typical High $5,128.61 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $512.86 | $512.86 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,456.54 | Professional | None | $5,495.41 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $549.54 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,187.76 | $3,090.30 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $398.11 Typical High $588.84 | Professional | RR · Rental | $218.78 | $398.11 | $588.84 |
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 $3,548.13 Median $5,248.07 Typical High $5,248.07 | Professional | UE · Used equipment | $3,548.13 | $5,248.07 | $5,248.07 |
Where Alabama sits
The same service costs 9.3 times more in North Dakota 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· 21st of 51
$5,623
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.