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 $4,265.80 Median $8,128.31 Typical High $8,128.31 | Professional | None | $4,265.80 | $8,128.31 | $8,128.31 |
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 $549.54 Median $549.54 Typical High $5,495.41 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $549.54 | $549.54 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | RR · Rental | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,715.35 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier RR · Rental Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $371.54 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $4,265.80 | Professional | None | $1,949.84 | $3,235.94 | $4,265.80 |
United Setting Professional Modifier RR · Rental Typical Low $194.98 Median $363.08 Typical High $549.54 | Professional | RR · Rental | $194.98 | $363.08 | $549.54 |
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 $3,235.94 Median $6,025.60 Typical High $6,025.60 | Professional | UE · Used equipment | $3,235.94 | $6,025.60 | $6,025.60 |
Where Alabama sits
The same service costs 11.2 times more in North Dakota 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· 37th of 51
$4,365
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.