How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,413 to $6,761Professionalmedian $955 · 10th to 90th $692 to $1,259
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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | None | $977.24 | $1,258.93 | $1,258.93 |
BCBS Alabama Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
BCBS Alabama Setting Professional Modifier 21 Typical Low $812.83 Median $1,122.02 Typical High $1,318.26 | Professional | 21 | $812.83 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $2,511.89 | Facility | None | $478.63 | $630.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,122.02 | Professional | None | $812.83 | $954.99 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $8,912.51 | Facility | None | $1,513.56 | $4,466.84 | $8,912.51 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,348.96 | Professional | None | $630.96 | $794.33 | $1,348.96 |
5 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 $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Alabama sits
The same service costs 4.6 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.