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 $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,000.00 | $1,202.26 |
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 $645.65 Median $2,884.03 Typical High $3,548.13 | Facility | None | $645.65 | $2,884.03 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,023.29 | Professional | None | $707.95 | $831.76 | $1,023.29 |
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 $512.86 Median $645.65 Typical High $1,096.48 | Professional | None | $512.86 | $645.65 | $1,096.48 |
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 $501.19 Median $501.19 Typical High $602.56 | Professional | 52 · Reduced service | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | 53 · Discontinued | $199.53 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $851.14 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $870.96 Median $1,096.48 Typical High $1,202.26 | Professional | 32 · Mandated service | $870.96 | $1,096.48 | $1,202.26 |
Where Alabama sits
The same service costs 6.6 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· 22nd of 51
$955
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.