How much rates vary
Facilitymedian $4,571 · 10th to 90th $955 to $4,571Professionalmedian $490 · 10th to 90th $347 to $661
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 $407.38 Median $660.69 Typical High $660.69 | Professional | None | $407.38 | $660.69 | $660.69 |
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 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $398.11 Median $537.03 Typical High $676.08 | Professional | 32 · Mandated service | $398.11 | $537.03 | $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 $323.59 Median $398.11 Typical High $660.69 | Professional | None | $323.59 | $398.11 | $660.69 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $467.74 |
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 |
Where Alabama sits
The same service costs 5.1 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 $6,741MT $1,322
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.