How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,288 to $5,012Professionalmedian $1,000 · 10th to 90th $724 to $1,288
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 $645.65 Median $1,122.02 Typical High $1,905.46 | Facility | None | $645.65 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $831.76 | Professional | None | $724.44 | $724.44 | $831.76 |
BCBS Alabama Setting Facility Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,677.35 | $4,786.30 | $4,786.30 |
BCBS Alabama Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,288.25 | Professional | None | $758.58 | $1,023.29 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $3,019.95 Typical High $3,715.35 | Facility | None | $489.78 | $3,019.95 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,479.11 | Professional | None | $758.58 | $1,096.48 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,801.89 Typical High $6,456.54 | Facility | None | $1,288.25 | $3,801.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $416.87 Median $954.99 Typical High $1,698.24 | Professional | None | $416.87 | $954.99 | $1,698.24 |
7 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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | 50 · Both sides | $7,079.46 | $7,079.46 | $7,079.46 |
Where Alabama sits
The same service costs 6.0 times more in Colorado than in Hawaii. 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
CO $12,924HI $2,150
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.