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 $6,309.57 Median $10,000.00 Typical High $10,000.00 | Professional | None | $6,309.57 | $10,000.00 | $10,000.00 |
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 $575.44 Median $575.44 Typical High $5,754.40 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $575.44 | $575.44 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,265.80 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $5,248.07 | Professional | None | $2,454.71 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $446.68 Typical High $691.83 | Professional | RR · Rental | $245.47 | $446.68 | $691.83 |
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 $4,786.30 Median $7,585.78 Typical High $7,585.78 | Professional | UE · Used equipment | $4,786.30 | $7,585.78 | $7,585.78 |
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· 34th of 51
$5,012
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.