How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,698 to $10,233Professionalmedian $1,023 · 10th to 90th $646 to $1,349
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 $794.33 Median $1,148.15 Typical High $2,089.30 | Facility | None | $794.33 | $1,148.15 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,148.15 | Professional | None | $691.83 | $1,148.15 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $645.65 | Professional | None | $85.11 | $87.10 | $645.65 |
BCBS Alabama Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
BCBS Alabama Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,348.96 | Professional | None | $933.25 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $4,570.88 Typical High $5,754.40 | Facility | None | $549.54 | $4,570.88 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,445.44 | Professional | None | $707.95 | $831.76 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $8,511.38 | Facility | None | $1,698.24 | $4,466.84 | $8,511.38 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,148.15 | Professional | None | $549.54 | $691.83 | $1,148.15 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $15,135.61 Median $15,488.17 Typical High $15,488.17 | Facility | 50 · Both sides | $15,135.61 | $15,488.17 | $15,488.17 |
Where Alabama sits
The same service costs 6.1 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 $13,882MT $2,270
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.