How much rates vary
Facilitymedian $3,162 · 10th to 90th $871 to $3,162Professionalmedian $437 · 10th to 90th $257 to $631
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 $380.19 Median $436.52 Typical High $630.96 | Professional | None | $380.19 | $436.52 | $630.96 |
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 $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 $316.23 Median $416.87 Typical High $549.54 | Professional | None | $316.23 | $416.87 | $549.54 |
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 $218.78 Median $338.84 Typical High $562.34 | Professional | None | $218.78 | $338.84 | $562.34 |
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 $218.78 Median $218.78 Typical High $316.23 | Professional | 52 · Reduced service | $218.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | 53 · Discontinued | $87.10 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $478.63 | Professional | 54 · Surgery only | $323.59 | $323.59 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $446.68 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $371.54 Median $512.86 Typical High $549.54 | Professional | 32 · Mandated service | $371.54 | $512.86 | $549.54 |
Where Alabama sits
The same service costs 6.3 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 $6,296MT $1,002
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.