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 $8,709.64 Median $13,803.84 Typical High $13,803.84 | Professional | None | $8,709.64 | $13,803.84 | $13,803.84 |
BCBS Setting Professional Modifier 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 Typical Low $776.25 Median $776.25 Typical High $7,762.47 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $776.25 | $776.25 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | RR · Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $10,715.19 Typical High $10,715.19 | Professional | None | $9,120.11 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | RR · Rental | $912.01 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $5,495.41 Typical High $7,244.36 | Professional | None | $3,311.31 | $5,495.41 | $7,244.36 |
United Setting Professional Modifier RR · Rental Typical Low $331.13 Median $616.60 Typical High $933.25 | Professional | RR · Rental | $331.13 | $616.60 | $933.25 |
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 $6,456.54 Median $10,232.93 Typical High $10,232.93 | Professional | UE · Used equipment | $6,456.54 | $10,232.93 | $10,232.93 |
Where Alabama sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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
$9,120
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.