How much rates vary
Facilitymedian $2,818 · 10th to 90th $575 to $2,884Professionalmedian $851 · 10th to 90th $676 to $1,259
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 $776.25 Median $1,258.93 Typical High $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $851.14 | Professional | None | $691.83 | $794.33 | $851.14 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,884.03 | $2,884.03 |
BCBS Alabama Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,258.93 | Professional | None | $933.25 | $1,202.26 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,071.52 Typical High $1,318.26 | Facility | None | $549.54 | $1,071.52 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,148.15 | Professional | None | $588.84 | $691.83 | $1,148.15 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,148.15 | Professional | None | $616.60 | $758.58 | $1,148.15 |
6 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 $346.74 Median $380.19 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $114.82 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $85.11 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $478.63 | $537.03 | $588.84 |
Where Alabama sits
The same service costs 3.7 times more in Alaska 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.
Physician feeFacility fee
AK $6,113DE $1,645
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.