How much rates vary
Facilitymedian $3,162 · 10th to 90th $871 to $3,162Professionalmedian $537 · 10th to 90th $316 to $776
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 $446.68 Median $537.03 Typical High $776.25 | Professional | None | $446.68 | $537.03 | $776.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $389.05 Median $467.74 Typical High $575.44 | Professional | None | $389.05 | $467.74 | $575.44 |
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 $269.15 Median $398.11 Typical High $691.83 | Professional | None | $269.15 | $398.11 | $691.83 |
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 $269.15 Median $269.15 Typical High $389.05 | Professional | 52 · Reduced service | $269.15 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 53 · Discontinued | $107.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $575.44 | Professional | 54 · Surgery only | $407.38 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $537.03 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $338.84 Median $467.74 Typical High $645.65 | Professional | 32 · Mandated service | $338.84 | $467.74 | $645.65 |
Where Alabama sits
The same service costs 5.3 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 $6,378MT $1,213
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.