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 $776.25 Median $1,258.93 Typical High $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | None | $758.58 | $933.25 | $933.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $501.19 Median $691.83 Typical High $851.14 | Professional | 32 · Mandated service | $501.19 | $691.83 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $4,466.84 Typical High $5,495.41 | Facility | None | $549.54 | $4,466.84 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | None | $575.44 | $676.08 | $707.95 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,511.38 | Facility | None | $1,698.24 | $3,801.89 | $8,511.38 |
United Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $912.01 | Professional | None | $446.68 | $549.54 | $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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $11,481.54 Median $11,748.98 Typical High $11,748.98 | Facility | 50 · Both sides | $11,481.54 | $11,748.98 | $11,748.98 |
Where Alabama sits
The same service costs 7.8 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
$933
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.