How much rates vary
Facilitymedian $15,849 · 10th to 90th $1,549 to $16,218Professionalmedian $4,571 · 10th to 90th $501 to $7,413
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 $707.95 Median $1,258.93 Typical High $7,413.10 | Facility | None | $707.95 | $1,258.93 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,995.26 Typical High $7,413.10 | Professional | None | $758.58 | $1,995.26 | $7,413.10 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
BCBS Alabama Setting Facility Modifier None Typical Low $15,848.93 Median $16,218.10 Typical High $16,218.10 | Facility | None | $15,848.93 | $16,218.10 | $16,218.10 |
BCBS Alabama Setting Professional Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $6,456.54 | Professional | None | $3,388.44 | $4,570.88 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $6,456.54 Typical High $8,128.31 | Facility | None | $549.54 | $6,456.54 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $7,244.36 | Professional | None | $524.81 | $776.25 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,128.61 Typical High $11,481.54 | Facility | None | $1,584.89 | $5,128.61 | $11,481.54 |
United Setting Professional Modifier None Typical Low $389.05 Median $3,548.13 Typical High $5,888.44 | Professional | None | $389.05 | $3,548.13 | $5,888.44 |
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 $380.19 Median $1,000.00 Typical High $3,715.35 | Professional | 52 · Reduced service | $380.19 | $1,000.00 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $398.11 Typical High $1,513.56 | Professional | 53 · Discontinued | $154.88 | $398.11 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $1,479.11 Typical High $5,623.41 | Professional | 54 · Surgery only | $575.44 | $1,479.11 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $295.12 Typical High $1,122.02 | Professional | 55 · Aftercare only | $114.82 | $295.12 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $199.53 Typical High $741.31 | Professional | 56 · Pre-op care only | $75.86 | $199.53 | $741.31 |
Where Alabama sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.