How much rates vary
Facilitymedian $5,012 · 10th to 90th $871 to $5,012Professionalmedian $550 · 10th to 90th $363 to $832
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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $831.76 | Professional | None | $549.54 | $549.54 | $831.76 |
BCBS Alabama Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,548.82 Typical High $1,949.84 | Facility | None | $489.78 | $1,548.82 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $741.31 | Professional | None | $446.68 | $489.78 | $741.31 |
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 $323.59 Median $512.86 Typical High $851.14 | Professional | None | $323.59 | $512.86 | $851.14 |
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 $275.42 Median $275.42 Typical High $416.87 | Professional | 52 · Reduced service | $275.42 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | 53 · Discontinued | $109.65 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $416.87 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $575.44 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $7,585.78 Typical High $7,585.78 | Facility | 50 · Both sides | $7,413.10 | $7,585.78 | $7,585.78 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $489.78 Median $676.08 Typical High $707.95 | Professional | 32 · Mandated service | $489.78 | $676.08 | $707.95 |
Where Alabama sits
The same service costs 4.4 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 $6,451MT $1,460
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.