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 $9,120.11 Median $14,454.40 Typical High $14,454.40 | Professional | None | $9,120.11 | $14,454.40 | $14,454.40 |
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 $812.83 Median $812.83 Typical High $8,128.31 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $812.83 | $812.83 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Facility Modifier RR · Rental Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | RR · Rental | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $9,549.93 Median $11,220.18 Typical High $11,220.18 | Professional | None | $9,549.93 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $954.99 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $5,754.40 Typical High $7,585.78 | Professional | None | $3,467.37 | $5,754.40 | $7,585.78 |
United Setting Professional Modifier RR · Rental Typical Low $346.74 Median $645.65 Typical High $977.24 | Professional | RR · Rental | $346.74 | $645.65 | $977.24 |
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 $6,760.83 Median $10,715.19 Typical High $10,715.19 | Professional | UE · Used equipment | $6,760.83 | $10,715.19 | $10,715.19 |
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· 33rd of 51
$9,772
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.