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 $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,698.24 | $2,238.72 |
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 $724.44 Typical High $1,000.00 | Facility | None | $549.54 | $724.44 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,659.59 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,311.31 Typical High $6,309.57 | Facility | None | $1,288.25 | $3,311.31 | $6,309.57 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,187.76 | Professional | None | $912.01 | $1,230.27 | $2,187.76 |
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 $851.14 Median $851.14 Typical High $1,122.02 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | 53 · Discontinued | $346.74 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,584.89 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $1,202.26 Median $1,659.59 Typical High $1,659.59 | Professional | 32 · Mandated service | $1,202.26 | $1,659.59 | $1,659.59 |
Where Alabama sits
The same service costs 5.0 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· 28th of 51
$1,622
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.