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 $776.25 Median $1,258.93 Typical High $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,659.59 | Professional | None | $489.78 | $870.96 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | None | $812.83 | $812.83 | $870.96 |
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 $1,071.52 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,380.38 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,630.27 | Facility | None | $1,348.96 | $1,659.59 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $1,047.13 Typical High $1,778.28 | Professional | None | $309.03 | $1,047.13 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $5,128.61 | Facility | None | $1,096.48 | $2,454.71 | $5,128.61 |
United Setting Professional Modifier None Typical Low $245.47 Median $812.83 Typical High $1,737.80 | Professional | None | $245.47 | $812.83 | $1,737.80 |
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 $371.54 Median $776.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $371.54 | $776.25 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $154.88 Typical High $245.47 | Professional | 55 · Aftercare only | $74.13 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $102.33 Typical High $165.96 | Professional | 56 · Pre-op care only | $48.98 | $102.33 | $165.96 |
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 4.8 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· 17th of 51
$1,413
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.