How much rates vary
Facilitymedian $1,349 · 10th to 90th $871 to $3,162Professionalmedian $603 · 10th to 90th $380 to $1,096
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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,096.48 | Professional | None | $630.96 | $812.83 | $1,096.48 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $1,737.80 | Facility | None | $489.78 | $1,412.54 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $794.33 | Professional | None | $398.11 | $602.56 | $794.33 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,168.69 | Facility | None | $758.58 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $741.31 | Professional | None | $331.13 | $457.09 | $741.31 |
7 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 $371.54 Median $407.38 Typical High $549.54 | Professional | 52 · Reduced service | $371.54 | $407.38 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $162.18 Typical High $218.78 | Professional | 53 · Discontinued | $147.91 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $831.76 | Professional | 54 · Surgery only | $562.34 | $616.60 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $165.96 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $81.28 Typical High $109.65 | Professional | 56 · Pre-op care only | $74.13 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $776.25 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $489.78 Median $676.08 Typical High $851.14 | Professional | 32 · Mandated service | $489.78 | $676.08 | $851.14 |
Where Alabama sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.