How much rates vary
Facilitymedian $1,072 · 10th to 90th $794 to $3,715Professionalmedian $603 · 10th to 90th $204 to $1,000
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 $794.33 Median $1,513.56 Typical High $2,398.83 | Facility | None | $794.33 | $1,513.56 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,000.00 | Professional | None | $331.13 | $562.34 | $1,000.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Alabama Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $851.14 | Professional | None | $436.52 | $602.56 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $630.96 | Facility | None | $363.08 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $512.86 Typical High $851.14 | Professional | None | $208.93 | $512.86 | $851.14 |
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 $162.18 Median $467.74 Typical High $758.58 | Professional | None | $162.18 | $467.74 | $758.58 |
5 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 $162.18 Median $309.03 Typical High $501.19 | Professional | 52 · Reduced service | $162.18 | $309.03 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $123.03 Typical High $199.53 | Professional | 53 · Discontinued | $66.07 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $467.74 Typical High $741.31 | Professional | 54 · Surgery only | $245.47 | $467.74 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $93.33 Typical High $151.36 | Professional | 55 · Aftercare only | $48.98 | $93.33 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $61.66 Typical High $100.00 | Professional | 56 · Pre-op care only | $33.11 | $61.66 | $100.00 |
Where Alabama sits
The same service costs 6.9 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $7,377MT $1,063
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.