How much rates vary
Facilitymedian $7,762 · 10th to 90th $851 to $7,762Professionalmedian $661 · 10th to 90th $355 to $891
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 $512.86 Median $954.99 Typical High $2,089.30 | Facility | None | $512.86 | $954.99 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $891.25 | Professional | None | $549.54 | $660.69 | $891.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
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 $371.54 Median $489.78 Typical High $660.69 | Professional | None | $371.54 | $489.78 | $660.69 |
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 $331.13 Median $467.74 Typical High $794.33 | Professional | None | $331.13 | $467.74 | $794.33 |
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 $331.13 Median $331.13 Typical High $446.68 | Professional | 52 · Reduced service | $331.13 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $177.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | 54 · Surgery only | $489.78 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $616.60 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $398.11 Median $549.54 Typical High $758.58 | Professional | 32 · Mandated service | $398.11 | $549.54 | $758.58 |
Where Alabama sits
The same service costs 5.8 times more in Alabama 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
AL $8,423MT $1,458
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.