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 $8,128.31 Median $12,882.50 Typical High $12,882.50 | Professional | None | $8,128.31 | $12,882.50 | $12,882.50 |
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 $831.76 Median $831.76 Typical High $8,317.64 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $831.76 | $831.76 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Cigna Setting Facility Modifier RR · Rental Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | RR · Rental | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $10,000.00 Typical High $10,000.00 | Professional | None | $8,511.38 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | RR · Rental | $851.14 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $6,760.83 | Professional | None | $3,162.28 | $5,128.61 | $6,760.83 |
United Setting Professional Modifier RR · Rental Typical Low $316.23 Median $575.44 Typical High $891.25 | Professional | RR · Rental | $316.23 | $575.44 | $891.25 |
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 $6,165.95 Median $9,772.37 Typical High $9,772.37 | Professional | UE · Used equipment | $6,165.95 | $9,772.37 | $9,772.37 |
Where Alabama sits
The same service costs 10.7 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· 22nd of 51
$8,511
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.