How much rates vary
Facilitymedian $219 · 10th to 90th $214 to $219Professionalmedian $166 · 10th to 90th $166 to $166
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $16.60 |
BCBS Alabama Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $218.78 | Facility | None | $213.80 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $83.18 | Facility | None | $60.26 | $63.10 | $83.18 |
United Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $213.80 | Professional | None | $89.13 | $186.21 | $213.80 |
Where Alabama sits
The same service costs 53.7 times more in Oklahoma than in Missouri. 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· 12th of 51
$166
OK $2,570MO $47.86
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.