How much rates vary
Facilitymedian $2,512 · 10th to 90th $871 to $3,162Professionalmedian $550 · 10th to 90th $295 to $724
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 $707.95 Median $1,230.27 Typical High $2,089.30 | Facility | None | $707.95 | $1,230.27 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | None | $537.03 | $549.54 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $380.19 | Professional | None | $338.84 | $380.19 | $380.19 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,511.89 | $2,570.40 | $2,570.40 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $338.84 Median $457.09 Typical High $562.34 | Professional | 32 · Mandated service | $338.84 | $457.09 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,479.11 | Facility | None | $549.54 | $1,174.90 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $724.44 | Professional | None | $467.74 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,168.69 | Facility | None | $758.58 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $776.25 | Professional | None | $281.84 | $338.84 | $776.25 |
5 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 $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Where Alabama sits
The same service costs 6.1 times more in Oklahoma than in Montana. 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
OK $6,602MT $1,074
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.