How much rates vary
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 $389.05 Median $389.05 Typical High $575.44 | Professional | None | $389.05 | $389.05 | $575.44 |
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 $281.84 Median $346.74 Typical High $446.68 | Professional | None | $281.84 | $346.74 | $446.68 |
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 $194.98 Median $309.03 Typical High $524.81 | Professional | None | $194.98 | $309.03 | $524.81 |
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 $194.98 Median $194.98 Typical High $288.40 | Professional | 52 · Reduced service | $194.98 | $194.98 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | 53 · Discontinued | $77.62 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | 54 · Surgery only | $288.40 | $288.40 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $407.38 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $4,786.30 Typical High $4,786.30 | Facility | 50 · Both sides | $4,677.35 | $4,786.30 | $4,786.30 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $263.03 Median $354.81 Typical High $478.63 | Professional | 32 · Mandated service | $263.03 | $354.81 | $478.63 |
Where Alabama sits
The same service costs 5.5 times more in Alaska than in Texas. 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.
Alabama· 30th of 51
$389
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.