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 $239.88 Median $275.42 Typical High $524.81 | Professional | None | $239.88 | $275.42 | $524.81 |
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 $380.19 Median $446.68 Typical High $588.84 | Professional | None | $380.19 | $446.68 | $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 $275.42 Typical High $537.03 | Professional | None | $151.36 | $275.42 | $537.03 |
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 $257.04 Typical High $436.52 | Professional | None | $120.23 | $257.04 | $436.52 |
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 $181.97 Median $229.09 Typical High $389.05 | Professional | 54 · Surgery only | $181.97 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $77.62 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | 56 · Pre-op care only | $23.99 | $30.90 | $52.48 |
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
$437
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.