How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,230 to $4,898Professionalmedian $1,413 · 10th to 90th $977 to $1,862
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 None Typical Low $977.24 Median $1,348.96 Typical High $1,698.24 | Professional | None | $977.24 | $1,348.96 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $16,982.44 Typical High $21,379.62 | Facility | None | $1,348.96 | $16,982.44 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,412.54 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,344.23 | $5,248.07 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,819.70 | Professional | None | $933.25 | $1,122.02 | $1,819.70 |
2 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 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,318.26 |
Where Alabama sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.