How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,698 to $7,762Professionalmedian $794 · 10th to 90th $562 to $1,148
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 $1,230.27 Typical High $2,089.30 | Facility | None | $776.25 | $1,230.27 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,096.48 | Professional | None | $691.83 | $1,096.48 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $302.00 | Professional | None | $40.74 | $40.74 | $302.00 |
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 $891.25 Median $1,096.48 Typical High $1,258.93 | Professional | 32 · Mandated service | $891.25 | $1,096.48 | $1,258.93 |
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 $660.69 Median $794.33 Typical High $1,258.93 | Professional | None | $660.69 | $794.33 | $1,258.93 |
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 $524.81 Median $645.65 Typical High $1,071.52 | Professional | None | $524.81 | $645.65 | $1,071.52 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
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 6.4 times more in Colorado than in Montana. 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
CO $13,816MT $2,168
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.