How much rates vary
Facilitymedian $1,072 · 10th to 90th $457 to $1,738Professionalmedian $1,000 · 10th to 90th $126 to $2,291
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 $239.88 Median $338.84 Typical High $2,290.87 | Professional | None | $239.88 | $338.84 | $2,290.87 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None | $120.23 | $120.23 | $162.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Alabama Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,778.28 | Professional | None | $870.96 | $1,202.26 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $1,230.27 | Facility | None | $616.60 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $398.11 Typical High $1,348.96 | Professional | None | $138.04 | $398.11 | $1,348.96 |
United Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $2,511.89 | Facility | None | $316.23 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $100.00 Median $812.83 Typical High $1,445.44 | Professional | None | $100.00 | $812.83 | $1,445.44 |
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 $120.23 Median $169.82 Typical High $1,148.15 | Professional | 52 · Reduced service | $120.23 | $169.82 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $67.61 Typical High $457.09 | Professional | 53 · Discontinued | $47.86 | $67.61 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $257.04 Typical High $1,737.80 | Professional | 54 · Surgery only | $181.97 | $257.04 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $51.29 Typical High $346.74 | Professional | 55 · Aftercare only | $36.31 | $51.29 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $33.88 Typical High $229.09 | Professional | 56 · Pre-op care only | $23.99 | $33.88 | $229.09 |
Where Alabama sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.