How much rates vary
Facilitymedian $71 · 10th to 90th $71 to $78Professionalmedian $58 · 10th to 90th $43 to $110
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 $69.18 Median $109.65 Typical High $109.65 | Professional | None | $69.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $10.23 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.92 | $10.96 | $10.96 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
United Setting Facility Modifier None Typical Low $57.54 Median $120.23 Typical High $141.25 | Facility | None | $57.54 | $120.23 | $141.25 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $77.62 | Professional | None | $34.67 | $54.95 | $77.62 |
Where Alabama sits
The same service costs 2.4 times more in Montana than in Delaware. 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· 47th of 51
$57.54
MT $123DE $51.29
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.