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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $707.95 Typical High $2,238.72 | Professional | None | $269.15 | $707.95 | $2,238.72 |
BCBS Alabama Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $831.76 | Facility | None | $812.83 | $831.76 | $831.76 |
BCBS Alabama Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,513.56 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $1,862.09 | Facility | None | $616.60 | $1,174.90 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $2,238.72 | Professional | None | $165.96 | $257.04 | $2,238.72 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $3,162.28 | Facility | None | $478.63 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $1,202.26 Typical High $2,041.74 | Professional | None | $138.04 | $1,202.26 | $2,041.74 |
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 $134.90 Median $354.81 Typical High $1,096.48 | Professional | 52 · Reduced service | $134.90 | $354.81 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $141.25 Typical High $446.68 | Professional | 53 · Discontinued | $53.70 | $141.25 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $524.81 Typical High $1,659.59 | Professional | 54 · Surgery only | $204.17 | $524.81 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $104.71 Typical High $331.13 | Professional | 55 · Aftercare only | $40.74 | $104.71 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $70.79 Typical High $223.87 | Professional | 56 · Pre-op care only | $26.92 | $70.79 | $223.87 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 50 · Both sides | $1,230.27 | $1,230.27 | $1,230.27 |
Where Alabama sits
The same service costs 8.5 times more in Wisconsin than in Nebraska. 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· 41st of 51
$1,122
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.