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 Facility Modifier None Typical Low $141.25 Median $162.18 Typical High $162.18 | Facility | None | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $162.18 | Professional | None | $85.11 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
BCBS Setting Professional Modifier 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $128.82 | Facility | None | $114.82 | $114.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
United Setting Facility Modifier None Typical Low $72.44 Median $165.96 Typical High $194.98 | Facility | None | $72.44 | $165.96 | $194.98 |
United Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $102.33 | Professional | None | $47.86 | $79.43 | $102.33 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Where Alabama sits
The same service costs 2.4 times more in Hawaii than in Maryland. 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· 35th of 51
$85.11
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.