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 Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,884.03 | $2,884.03 | $3,467.37 |
BCBS Alabama Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | None | $436.52 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $977.24 Typical High $1,380.38 | Facility | None | $549.54 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,630.27 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,311.31 Typical High $6,456.54 | Facility | None | $1,288.25 | $3,311.31 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,548.82 | $1,949.84 | $3,630.78 |
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 $1,445.44 Median $1,445.44 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $707.95 | Professional | 53 · Discontinued | $575.44 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $2,454.71 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 50 · Both sides | $660.69 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $1,949.84 Median $2,630.27 Typical High $2,630.27 | Professional | 32 · Mandated service | $1,949.84 | $2,630.27 | $2,630.27 |
Where Alabama sits
The same service costs 5.5 times more in Alaska than in Texas. 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· 31st of 51
$2,570
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.