How much rates vary
Facilitymedian $2,188 · 10th to 90th $437 to $2,188Professionalmedian $398 · 10th to 90th $339 to $724
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $269.15 Median $363.08 Typical High $549.54 | Professional | 32 · Mandated service | $269.15 | $363.08 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $2,089.30 Typical High $2,570.40 | Facility | None | $363.08 | $2,089.30 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $602.56 | Professional | None | $338.84 | $398.11 | $602.56 |
United Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $2,570.40 | Facility | None | $309.03 | $616.60 | $2,570.40 |
United Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $562.34 | Professional | None | $288.40 | $363.08 | $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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | 50 · Both sides | $3,311.31 | $3,311.31 | $3,311.31 |
Where Alabama sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.