How much rates vary
Facilitymedian $4,266 · 10th to 90th $562 to $4,266Professionalmedian $525 · 10th to 90th $339 to $813
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 $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
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 $426.58 Median $588.84 Typical High $707.95 | Professional | None | $426.58 | $588.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $4,786.30 Typical High $5,888.44 | Facility | None | $363.08 | $4,786.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $602.56 | Professional | None | $363.08 | $436.52 | $602.56 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,235.94 | Facility | None | $467.74 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $562.34 | Professional | None | $288.40 | $398.11 | $562.34 |
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 $331.13 Median $331.13 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $81.28 |
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 9.3 times more in Wyoming 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
WY $10,585DE $1,135
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.