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 $4,570.88 Typical High $4,570.88 | Professional | None | $3,311.31 | $4,570.88 | $4,570.88 |
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 $467.74 Median $467.74 Typical High $4,677.35 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $467.74 | $467.74 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | RR · Rental | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,398.83 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $181.97 Median $331.13 Typical High $446.68 | Professional | RR · Rental | $181.97 | $331.13 | $446.68 |
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 $2,511.89 Median $3,467.37 Typical High $3,467.37 | Professional | UE · Used equipment | $2,511.89 | $3,467.37 | $3,467.37 |
Where Alabama sits
The same service costs 11.0 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· 22nd 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.