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 $794.33 Median $1,513.56 Typical High $2,398.83 | Facility | None | $794.33 | $1,513.56 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | None | $870.96 | $870.96 | $1,023.29 |
BCBS 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 |
BCBS Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,047.13 | Professional | None | $660.69 | $912.01 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,905.46 | Facility | None | $645.65 | $1,479.11 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $977.24 | Professional | None | $691.83 | $831.76 | $977.24 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,168.69 | Facility | None | $758.58 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $977.24 | Professional | None | $457.09 | $588.84 | $977.24 |
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 $436.52 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $660.69 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $724.44 |
Where Alabama sits
The same service costs 6.5 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· 18th of 51
$912
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.