How much rates vary
Facilitymedian $2,818 · 10th to 90th $891 to $3,162Professionalmedian $417 · 10th to 90th $316 to $617
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 $457.09 Median $602.56 Typical High $602.56 | Professional | None | $457.09 | $602.56 | $602.56 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $478.63 Median $575.44 Typical High $794.33 | Professional | 32 · Mandated service | $478.63 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $1,995.26 | Facility | None | $645.65 | $1,698.24 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $794.33 | Professional | None | $354.81 | $416.87 | $794.33 |
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 $281.84 Median $354.81 Typical High $549.54 | Professional | None | $281.84 | $354.81 | $549.54 |
4 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 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | 50 · Both sides | $4,265.80 | $4,265.80 | $4,265.80 |
Where Alabama sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.