How much rates vary
Facilitymedian $4,571 · 10th to 90th $871 to $4,571Professionalmedian $589 · 10th to 90th $347 to $851
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 $776.25 Median $1,258.93 Typical High $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $851.14 | Professional | None | $489.78 | $588.84 | $851.14 |
BCBS Alabama Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $1,949.84 | Facility | None | $549.54 | $1,548.82 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $645.65 | Professional | None | $416.87 | $467.74 | $645.65 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,168.69 | Facility | None | $758.58 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $758.58 | Professional | None | $295.12 | $457.09 | $758.58 |
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 $295.12 Median $295.12 Typical High $426.58 | Professional | 52 · Reduced service | $295.12 | $295.12 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 53 · Discontinued | $117.49 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $645.65 | Professional | 54 · Surgery only | $436.52 | $436.52 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $85.11 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $602.56 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $6,918.31 Typical High $6,918.31 | Facility | 50 · Both sides | $6,760.83 | $6,918.31 | $6,918.31 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $398.11 Median $549.54 Typical High $724.44 | Professional | 32 · Mandated service | $398.11 | $549.54 | $724.44 |
Where Alabama sits
The same service costs 4.7 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 $6,438MT $1,383
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.