How much rates vary
Facilitymedian $646 · 10th to 90th $178 to $1,096Professionalmedian $513 · 10th to 90th $363 to $759
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 $602.56 Median $691.83 Typical High $758.58 | Professional | None | $602.56 | $691.83 | $758.58 |
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 $363.08 Median $831.76 Typical High $1,023.29 | Facility | None | $363.08 | $831.76 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $588.84 | Professional | None | $416.87 | $457.09 | $588.84 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,621.81 | Facility | None | $100.00 | $371.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $660.69 | Professional | None | $331.13 | $407.38 | $660.69 |
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 $346.74 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | 54 · Surgery only | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $537.03 |
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 $323.59 Median $446.68 Typical High $616.60 | Professional | 32 · Mandated service | $323.59 | $446.68 | $616.60 |
Where Alabama sits
The same service costs 5.3 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 $4,377FL $831
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.