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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $426.58 | Professional | None | $158.49 | $234.42 | $426.58 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $977.24 | Facility | None | $478.63 | $616.60 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $239.88 Typical High $371.54 | Professional | None | $95.50 | $239.88 | $371.54 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None Typical Low $79.43 Median $223.87 Typical High $338.84 | Professional | None | $79.43 | $223.87 | $338.84 |
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 $79.43 Median $117.49 Typical High $213.80 | Professional | 52 · Reduced service | $79.43 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $46.77 Typical High $85.11 | Professional | 53 · Discontinued | $31.62 | $46.77 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $177.83 Typical High $323.59 | Professional | 54 · Surgery only | $120.23 | $177.83 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $35.48 Typical High $64.57 | Professional | 55 · Aftercare only | $23.99 | $35.48 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $23.44 Typical High $42.66 | Professional | 56 · Pre-op care only | $15.85 | $23.44 | $42.66 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | 50 · Both sides | $5,623.41 | $5,623.41 | $5,623.41 |
Where Alabama sits
The same service costs 3.6 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· 21st of 51
$288
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.