How much rates vary
Facilitymedian $2,951 · 10th to 90th $575 to $3,020Professionalmedian $372 · 10th to 90th $263 to $575
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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $575.44 | Professional | None | $416.87 | $575.44 | $575.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,951.21 | $3,019.95 | $3,019.95 |
BCBS Alabama Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $416.87 | Professional | None | $104.71 | $104.71 | $416.87 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $75.86 Median $134.90 Typical High $426.58 | Professional | 32 · Mandated service | $75.86 | $134.90 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,265.80 Typical High $5,248.07 | Facility | None | $588.84 | $4,265.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $478.63 | Professional | None | $338.84 | $371.54 | $478.63 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $3,235.94 | Facility | None | $478.63 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $549.54 | Professional | None | $218.78 | $288.40 | $549.54 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Alabama sits
The same service costs 7.8 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 $7,005MT $893
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.