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 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 $588.84 Median $588.84 Typical High $977.24 | Professional | None | $588.84 | $588.84 | $977.24 |
BCBS Alabama Setting Facility Modifier None Typical Low $4,073.80 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,073.80 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,884.03 Typical High $3,548.13 | Facility | None | $489.78 | $2,884.03 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,318.26 | Professional | None | $588.84 | $870.96 | $1,318.26 |
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 $302.00 Median $524.81 Typical High $912.01 | Professional | None | $302.00 | $524.81 | $912.01 |
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 $295.12 Median $295.12 Typical High $489.78 | Professional | 52 · Reduced service | $295.12 | $295.12 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | 53 · Discontinued | $117.49 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | 54 · Surgery only | $436.52 | $436.52 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $691.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $630.96 Median $870.96 Typical High $1,000.00 | Professional | 32 · Mandated service | $630.96 | $870.96 | $1,000.00 |
Where Alabama sits
The same service costs 4.9 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· 17th of 51
$741
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.