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 $234.42 Median $295.12 Typical High $478.63 | Professional | None | $234.42 | $295.12 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 |
BCBS Alabama Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $588.84 | Professional | None | $354.81 | $436.52 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $1,659.59 | Facility | None | $478.63 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $724.44 | Professional | None | $151.36 | $288.40 | $724.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $1,380.38 | Facility | None | $100.00 | $323.59 | $1,380.38 |
United Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $416.87 | Professional | None | $120.23 | $245.47 | $416.87 |
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 $177.83 Median $223.87 Typical High $363.08 | Professional | 54 · Surgery only | $177.83 | $223.87 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $44.67 Typical High $72.44 | Professional | 55 · Aftercare only | $35.48 | $44.67 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $29.51 Typical High $47.86 | Professional | 56 · Pre-op care only | $23.44 | $29.51 | $47.86 |
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 3.4 times more in Alaska 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· 10th of 51
$427
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.