How much rates vary
Facilitymedian $3,162 · 10th to 90th $891 to $3,715Professionalmedian $661 · 10th to 90th $389 to $955
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 $794.33 Median $1,513.56 Typical High $2,398.83 | Facility | None | $794.33 | $1,513.56 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $954.99 | Professional | None | $524.81 | $660.69 | $954.99 |
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 $645.65 Median $3,548.13 Typical High $4,365.16 | Facility | None | $645.65 | $3,548.13 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $851.14 | Professional | None | $478.63 | $630.96 | $851.14 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,265.80 | Facility | None | $758.58 | $1,737.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $851.14 | Professional | None | $331.13 | $501.19 | $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 $331.13 Median $331.13 Typical High $478.63 | Professional | 52 · Reduced service | $331.13 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | 53 · Discontinued | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $724.44 | Professional | 54 · Surgery only | $501.19 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $676.08 |
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 $645.65 Median $891.25 Typical High $977.24 | Professional | 32 · Mandated service | $645.65 | $891.25 | $977.24 |
Where Alabama sits
The same service costs 6.5 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 $9,949MT $1,532
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.