How much rates vary
Facilitymedian $8,128 · 10th to 90th $1,862 to $8,128Professionalmedian $1,000 · 10th to 90th $708 to $1,259
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 $1,258.93 Typical High $2,630.27 | Facility | None | $794.33 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,258.93 | Professional | None | $776.25 | $1,258.93 | $1,258.93 |
BCBS Alabama Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
BCBS Alabama Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,230.27 | Professional | None | $724.44 | $1,000.00 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,786.30 Typical High $6,025.60 | Facility | None | $645.65 | $4,786.30 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,000.00 | Professional | None | $794.33 | $933.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,258.93 | Professional | None | $616.60 | $758.58 | $1,258.93 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | 50 · Both sides | $12,302.69 | $12,302.69 | $12,302.69 |
Where Alabama sits
The same service costs 5.9 times more in Alaska 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
AK $14,644MT $2,489
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.