How much rates vary
Facilitymedian $6,166 · 10th to 90th $891 to $6,310Professionalmedian $661 · 10th to 90th $457 to $955
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 $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $954.99 | Professional | None | $501.19 | $954.99 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
BCBS Alabama Setting Facility Modifier None Typical Low $6,165.95 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,165.95 | $6,309.57 | $6,309.57 |
BCBS Alabama Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $812.83 | Professional | None | $602.56 | $724.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $4,466.84 | Facility | None | $933.25 | $3,548.13 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $724.44 | Professional | None | $537.03 | $562.34 | $724.44 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,265.80 | Facility | None | $758.58 | $1,737.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $912.01 | Professional | None | $363.08 | $478.63 | $912.01 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Where Alabama sits
The same service costs 5.9 times more in Alaska 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
AK $8,723MT $1,483
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.