How much rates vary
Facilitymedian $646 · 10th to 90th $141 to $977Professionalmedian $316 · 10th to 90th $219 to $479
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 $436.52 Median $1,096.48 Typical High $2,398.83 | Facility | None | $436.52 | $1,096.48 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $478.63 | Professional | None | $275.42 | $436.52 | $478.63 |
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 $50.12 Median $134.90 Typical High $446.68 | Facility | None | $50.12 | $134.90 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $363.08 | Professional | None | $229.09 | $295.12 | $363.08 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $407.38 | Professional | None | $204.17 | $251.19 | $407.38 |
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 $218.78 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 54 · Surgery only | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $338.84 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $199.53 Median $275.42 Typical High $380.19 | Professional | 32 · Mandated service | $199.53 | $275.42 | $380.19 |
Where Alabama sits
The same service costs 6.4 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 $2,602FL $408
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.