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 $707.95 Median $707.95 Typical High $1,096.48 | Professional | None | $707.95 | $707.95 | $1,096.48 |
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 $398.11 Median $616.60 Typical High $707.95 | Professional | None | $398.11 | $616.60 | $707.95 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,235.94 | Facility | None | $467.74 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $851.14 | Professional | None | $338.84 | $549.54 | $851.14 |
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 $354.81 Median $354.81 Typical High $549.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $831.76 | Professional | 54 · Surgery only | $524.81 | $524.81 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $109.65 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $776.25 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $524.81 Median $707.95 Typical High $977.24 | Professional | 32 · Mandated service | $524.81 | $707.95 | $977.24 |
Where Alabama sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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· 25th of 51
$708
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.