How much rates vary
Facilitymedian $8,511 · 10th to 90th $166 to $8,710Professionalmedian $646 · 10th to 90th $138 to $977
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 $1,862.09 | Facility | None | $562.34 | $954.99 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $512.86 Typical High $977.24 | Professional | None | $234.42 | $512.86 | $977.24 |
BCBS Alabama Setting Facility Modifier None Typical Low $8,511.38 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,511.38 | $8,709.64 | $8,709.64 |
BCBS Alabama Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $776.25 | Professional | None | $501.19 | $691.83 | $776.25 |
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 $138.04 Median $239.88 Typical High $977.24 | Professional | None | $138.04 | $239.88 | $977.24 |
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 $125.89 Median $501.19 Typical High $891.25 | Professional | None | $125.89 | $501.19 | $891.25 |
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 $131.83 Median $269.15 Typical High $489.78 | Professional | 52 · Reduced service | $131.83 | $269.15 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $107.15 Typical High $194.98 | Professional | 53 · Discontinued | $52.48 | $107.15 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $398.11 Typical High $741.31 | Professional | 54 · Surgery only | $199.53 | $398.11 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $79.43 Typical High $147.91 | Professional | 55 · Aftercare only | $39.81 | $79.43 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $53.70 Typical High $97.72 | Professional | 56 · Pre-op care only | $26.30 | $53.70 | $97.72 |
Where Alabama sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.