How much rates vary
Facilitymedian $3,467 · 10th to 90th $575 to $3,548Professionalmedian $288 · 10th to 90th $204 to $389
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 $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $380.19 | Professional | None | $269.15 | $380.19 | $380.19 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,467.37 | $3,548.13 | $3,548.13 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $309.03 Median $389.05 Typical High $426.58 | Professional | 32 · Mandated service | $309.03 | $389.05 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,230.27 | Facility | None | $549.54 | $870.96 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $501.19 | Professional | None | $245.47 | $288.40 | $501.19 |
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 $190.55 Median $234.42 Typical High $380.19 | Professional | None | $190.55 | $234.42 | $380.19 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Where Alabama sits
The same service costs 6.2 times more in Colorado 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
CO $4,689MT $752
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.