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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | None | $186.21 | $186.21 | $302.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,348.96 | $1,348.96 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | 32 · Mandated service | $125.89 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $128.82 Typical High $446.68 | Facility | None | $50.12 | $128.82 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $251.19 | Professional | None | $102.33 | $158.49 | $251.19 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $263.03 | Professional | None | $89.13 | $151.36 | $263.03 |
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 $91.20 Median $102.33 Typical High $151.36 | Professional | 52 · Reduced service | $91.20 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $40.74 Typical High $60.26 | Professional | 53 · Discontinued | $37.15 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $151.36 Typical High $223.87 | Professional | 54 · Surgery only | $138.04 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.20 Typical High $44.67 | Professional | 55 · Aftercare only | $27.54 | $30.20 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $20.42 Typical High $30.20 | Professional | 56 · Pre-op care only | $18.62 | $20.42 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $141.25 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $128.82 | $141.25 | $208.93 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 50 · Both sides | $1,995.26 | $1,995.26 | $1,995.26 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 27th of 51
$195
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.