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 $2,884.03 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,884.03 | $3,548.13 | $3,548.13 |
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 $380.19 Median $380.19 Typical High $3,801.89 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $380.19 | $380.19 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | RR · Rental | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,818.38 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $281.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,445.44 | $1,905.46 | $2,691.53 |
United Setting Professional Modifier RR · Rental Typical Low $144.54 Median $263.03 Typical High $354.81 | Professional | RR · Rental | $144.54 | $263.03 | $354.81 |
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 $2,691.53 Typical High $2,691.53 | Professional | UE · Used equipment | $1,949.84 | $2,691.53 | $2,691.53 |
Where Alabama sits
The same service costs 9.8 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· 16th 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.