How much rates vary
Facilitymedian $3,715 · 10th to 90th $575 to $3,715Professionalmedian $513 · 10th to 90th $363 to $759
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 $1,047.13 Typical High $2,089.30 | Facility | None | $707.95 | $1,047.13 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $758.58 Typical High $758.58 | Professional | None | $389.05 | $758.58 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $446.68 | Professional | None | $309.03 | $426.58 | $446.68 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
BCBS Alabama Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $645.65 | Professional | None | $467.74 | $562.34 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,862.09 | Facility | None | $758.58 | $1,047.13 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $575.44 | Professional | None | $426.58 | $436.52 | $575.44 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $3,162.28 | Facility | None | $478.63 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $724.44 | Professional | None | $288.40 | $371.54 | $724.44 |
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 $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Where Alabama sits
The same service costs 5.0 times more in Colorado 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
CO $5,749MT $1,151
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.