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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None | $281.84 | $281.84 | $436.52 |
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 |
BCBS Alabama Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $501.19 | Facility | None | $158.49 | $194.98 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $346.74 | Professional | None | $169.82 | $223.87 | $346.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,235.94 | Facility | None | $467.74 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $323.59 | Professional | None | $120.23 | $194.98 | $323.59 |
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 $141.25 Median $141.25 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | 54 · Surgery only | $213.80 | $213.80 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $309.03 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $186.21 Median $257.04 Typical High $316.23 | Professional | 32 · Mandated service | $186.21 | $257.04 | $316.23 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 20th of 51
$263
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.