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 $3,311.31 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,311.31 | $4,466.84 | $4,466.84 |
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 $398.11 Median $398.11 Typical High $3,981.07 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $398.11 | $398.11 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | RR · Rental | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,467.37 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $346.74 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $346.74 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,659.59 | $2,238.72 | $3,162.28 |
United Setting Professional Modifier RR · Rental Typical Low $165.96 Median $309.03 Typical High $407.38 | Professional | RR · Rental | $165.96 | $309.03 | $407.38 |
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 $2,398.83 Median $3,311.31 Typical High $3,311.31 | Professional | UE · Used equipment | $2,398.83 | $3,311.31 | $3,311.31 |
Where Alabama sits
The same service costs 11.7 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· 20th of 51
$3,981
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.