How much rates vary
Facilitymedian $2,512 · 10th to 90th $933 to $3,162Professionalmedian $490 · 10th to 90th $355 to $676
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 $707.95 Median $1,230.27 Typical High $2,089.30 | Facility | None | $707.95 | $1,230.27 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $676.08 | Professional | None | $426.58 | $676.08 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | None | $478.63 | $501.19 | $501.19 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,511.89 | $2,570.40 | $2,570.40 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $398.11 Median $549.54 Typical High $676.08 | Professional | 32 · Mandated service | $398.11 | $549.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,148.15 | $1,412.54 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $549.54 | Professional | None | $416.87 | $489.78 | $549.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,073.80 | Facility | None | $758.58 | $1,737.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $676.08 | Professional | None | $331.13 | $407.38 | $676.08 |
3 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 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | 50 · Both sides | $3,801.89 | $3,801.89 | $3,801.89 |
Where Alabama sits
The same service costs 4.9 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 $6,755MT $1,384
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.