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 $6,025.60 Median $9,549.93 Typical High $9,549.93 | Professional | None | $6,025.60 | $9,549.93 | $9,549.93 |
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 $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Cigna Setting Facility Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | RR · Rental | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $7,413.10 | Professional | None | $6,309.57 | $7,413.10 | $7,413.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $630.96 | $741.31 | $741.31 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,011.87 | Professional | None | $2,344.23 | $3,801.89 | $5,011.87 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $457.09 Typical High $645.65 | Professional | RR · Rental | $234.42 | $457.09 | $645.65 |
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 $4,570.88 Median $7,244.36 Typical High $7,244.36 | Professional | UE · Used equipment | $4,570.88 | $7,244.36 | $7,244.36 |
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· 42nd of 51
$6,310
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.