How much rates vary
Facilitymedian $7,244 · 10th to 90th $575 to $7,244Professionalmedian $5,495 · 10th to 90th $3,020 to $7,079
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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | 52 · Reduced service | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 53 · Discontinued | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | 54 · Surgery only | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 55 · Aftercare only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 56 · Pre-op care only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $5,011.87 | $5,011.87 | $5,011.87 |
BCBS Alabama Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
BCBS Alabama Setting Professional Modifier 21 Typical Low $2,754.23 Median $3,801.89 Typical High $5,011.87 | Professional | 21 | $2,754.23 | $3,801.89 | $5,011.87 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $3,801.89 | Facility | None | $371.54 | $954.99 | $3,801.89 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $6,309.57 | Professional | None | $2,691.53 | $3,467.37 | $6,309.57 |
Where Alabama sits
The same service costs 27.5 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· 14th of 51
$5,888
AK $14,454TX $525
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.