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 $5.75 Median $5.75 Typical High $7.59 | Facility | None | $5.75 | $5.75 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $5.75 | Professional | None | $4.37 | $5.75 | $5.75 |
BCBS Alabama Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 52 · Reduced service Typical Low $3.24 Median $4.27 Typical High $5.13 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 52 · Reduced service | $3.24 | $4.27 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $4.17 Typical High $15.49 | Facility | None | $4.07 | $4.17 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.89 | Professional | None | $2.95 | $2.95 | $3.89 |
United Setting Facility Modifier None Typical Low $1.78 Median $4.47 Typical High $4.90 | Facility | None | $1.78 | $4.47 | $4.90 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $4.07 | Professional | None | $2.09 | $2.88 | $4.07 |
2 more rates 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 52 · Reduced service Typical Low $2.19 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.19 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.87 | $1.12 | $1.12 |
Where Alabama sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 11th of 51
$6.61
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.