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 $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 $134.90 Median $223.87 Typical High $251.19 | Professional | None | $134.90 | $223.87 | $251.19 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Alabama Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $398.11 | Professional | None | $199.53 | $275.42 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,584.89 Typical High $2,238.72 | Facility | None | $549.54 | $1,584.89 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $380.19 | Professional | None | $158.49 | $239.88 | $380.19 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,454.71 | $5,248.07 |
United Setting Professional Modifier None Typical Low $120.23 Median $229.09 Typical High $416.87 | Professional | None | $120.23 | $229.09 | $416.87 |
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 $67.61 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $67.61 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $26.92 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $165.96 Typical High $186.21 | Professional | 54 · Surgery only | $102.33 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $33.11 Typical High $37.15 | Professional | 55 · Aftercare only | $20.42 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.49 | $22.39 | $25.12 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,019.95 Median $3,090.30 Typical High $3,090.30 | Facility | 50 · Both sides | $3,019.95 | $3,090.30 | $3,090.30 |
Where Alabama sits
The same service costs 5.8 times more in Alaska 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.
Alabama· 32nd of 51
$275
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.