How much rates vary
Facilitymedian $646 · 10th to 90th $457 to $1,622Professionalmedian $631 · 10th to 90th $437 to $891
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 $891.25 Typical High $1,862.09 | Facility | None | $562.34 | $891.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $891.25 | Professional | None | $562.34 | $831.76 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $602.56 | Professional | None | $363.08 | $363.08 | $602.56 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,096.48 | Facility | None | $549.54 | $870.96 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $724.44 | Professional | None | $501.19 | $602.56 | $724.44 |
United Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $2,511.89 | Facility | None | $316.23 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $812.83 | Professional | None | $407.38 | $501.19 | $812.83 |
8 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 $416.87 Median $416.87 Typical High $446.68 | Professional | 52 · Reduced service | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | 53 · Discontinued | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 54 · Surgery only | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $616.60 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 50 · Both sides | $977.24 | $977.24 | $977.24 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $389.05 Median $524.81 Typical High $724.44 | Professional | 32 · Mandated service | $389.05 | $524.81 | $724.44 |
Where Alabama sits
The same service costs 4.0 times more in Colorado than in Florida. 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 $4,440FL $1,118
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.