How much rates vary
Facilitymedian $4,266 · 10th to 90th $851 to $4,266Professionalmedian $490 · 10th to 90th $316 to $759
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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | None | $616.60 | $616.60 | $758.58 |
BCBS Alabama Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
BCBS Alabama Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $660.69 | Professional | None | $398.11 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $2,570.40 Typical High $3,235.94 | Facility | None | $363.08 | $2,570.40 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $562.34 | Professional | None | $331.13 | $407.38 | $562.34 |
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 $263.03 Median $371.54 Typical High $524.81 | Professional | None | $263.03 | $371.54 | $524.81 |
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 $309.03 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $123.03 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | 54 · Surgery only | $457.09 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $75.86 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | 50 · Both sides | $6,456.54 | $6,456.54 | $6,456.54 |
Where Alabama sits
The same service costs 7.0 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 $7,286MT $1,039
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.