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 $891.25 Median $1,348.96 Typical High $2,398.83 | Facility | None | $891.25 | $1,348.96 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,019.95 | Professional | None | $2,344.23 | $2,344.23 | $3,019.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $5,011.87 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,011.87 | $5,128.61 | $5,128.61 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $1,047.13 Median $1,445.44 Typical High $2,137.96 | Professional | 32 · Mandated service | $1,047.13 | $1,445.44 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,884.03 Typical High $3,548.13 | Facility | None | $741.31 | $2,884.03 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,258.93 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,311.31 Typical High $6,456.54 | Facility | None | $1,288.25 | $3,311.31 | $6,456.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,398.83 | Professional | None | $977.24 | $1,348.96 | $2,398.83 |
6 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 $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $2,089.30 |
Where Alabama sits
The same service costs 5.2 times more in Alaska than in Texas. 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· 16th of 51
$2,042
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.