How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,778 to $9,333Professionalmedian $6,166 · 10th to 90th $479 to $10,715
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 $954.99 Median $1,995.26 Typical High $3,715.35 | Facility | None | $954.99 | $1,995.26 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $10,715.19 | Professional | None | $912.01 | $1,288.25 | $10,715.19 |
BCBS Alabama Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
BCBS Alabama Setting Professional Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $8,128.31 | Professional | None | $5,495.41 | $7,079.46 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,244.36 Typical High $9,120.11 | Facility | None | $630.96 | $7,244.36 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,096.48 Typical High $10,232.93 | Professional | None | $537.03 | $1,096.48 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,801.89 Typical High $8,511.38 | Facility | None | $1,513.56 | $3,801.89 | $8,511.38 |
United Setting Professional Modifier None Typical Low $380.19 Median $4,897.79 Typical High $9,549.93 | Professional | None | $380.19 | $4,897.79 | $9,549.93 |
6 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 $457.09 Median $645.65 Typical High $5,370.32 | Professional | 52 · Reduced service | $457.09 | $645.65 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $257.04 Typical High $2,137.96 | Professional | 53 · Discontinued | $181.97 | $257.04 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $977.24 Typical High $8,128.31 | Professional | 54 · Surgery only | $691.83 | $977.24 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $194.98 Typical High $1,621.81 | Professional | 55 · Aftercare only | $138.04 | $194.98 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $128.82 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $91.20 | $128.82 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $912.01 Typical High $7,585.78 | Professional | 78 · Unplanned return to OR | $645.65 | $912.01 | $7,585.78 |
Where Alabama sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.