How much rates vary
Facilitymedian $36,308 · 10th to 90th $2,630 to $36,308Professionalmedian $1,445 · 10th to 90th $891 to $1,950
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 $954.99 Median $1,621.81 Typical High $2,630.27 | Facility | None | $954.99 | $1,621.81 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,621.81 Typical High $1,659.59 | Professional | None | $891.25 | $1,621.81 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,096.48 | Professional | None | $758.58 | $977.24 | $1,096.48 |
BCBS Alabama Setting Facility Modifier None Typical Low $36,307.81 Median $36,307.81 Typical High $36,307.81 | Facility | None | $36,307.81 | $36,307.81 | $36,307.81 |
BCBS Alabama Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,445.44 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $23,442.29 Typical High $29,512.09 | Facility | None | $549.54 | $23,442.29 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,230.27 | $2,089.30 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $16,595.87 Typical High $44,668.36 | Facility | None | $3,981.07 | $16,595.87 | $44,668.36 |
United Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,348.96 | Professional | None | $724.44 | $912.01 | $1,348.96 |
6 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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Where Alabama sits
The same service costs 19.9 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 $53,750MT $2,699
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.