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 $28.84 Median $28.84 Typical High $38.90 | Facility | None | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $28.84 | Professional | None | $21.38 | $28.84 | $28.84 |
BCBS Alabama Setting Facility Modifier None Typical Low $13.80 Median $14.13 Typical High $14.13 | Facility | None | $13.80 | $14.13 | $14.13 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $8.32 Median $10.00 Typical High $16.22 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $8.32 | $10.00 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $20.89 Typical High $79.43 | Facility | None | $20.42 | $20.89 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Facility Modifier None Typical Low $8.91 Median $22.39 Typical High $25.12 | Facility | None | $8.91 | $22.39 | $25.12 |
United Setting Professional Modifier None Typical Low $8.13 Median $15.14 Typical High $25.12 | Professional | None | $8.13 | $15.14 | $25.12 |
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 $10.23 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.23 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.07 | $5.75 | $5.75 |
Where Alabama sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 49th of 51
$14.13
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.