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 $363.08 Median $363.08 Typical High $512.86 | Professional | None | $363.08 | $363.08 | $512.86 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $501.19 | Facility | None | $281.84 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $380.19 | Professional | None | $204.17 | $269.15 | $380.19 |
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 $144.54 Median $213.80 Typical High $363.08 | Professional | None | $144.54 | $213.80 | $363.08 |
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 $181.97 Median $181.97 Typical High $257.04 | Professional | 52 · Reduced service | $181.97 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $72.44 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 54 · Surgery only | $269.15 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $354.81 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $223.87 Median $309.03 Typical High $389.05 | Professional | 32 · Mandated service | $223.87 | $309.03 | $389.05 |
Where Alabama sits
The same service costs 4.2 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· 25th of 51
$282
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.