How much rates vary
Facilitymedian $105 · 10th to 90th $105 to $977Professionalmedian $209 · 10th to 90th $132 to $339
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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $338.84 | Professional | None | $208.93 | $245.47 | $338.84 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $239.88 Median $275.42 Typical High $371.54 | Professional | 32 · Mandated service | $239.88 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $501.19 | Facility | None | $131.83 | $162.18 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $288.40 | Professional | None | $141.25 | $208.93 | $288.40 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $257.04 | Professional | None | $114.82 | $173.78 | $257.04 |
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 $104.71 Median $114.82 Typical High $169.82 | Professional | 52 · Reduced service | $104.71 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $69.18 | Professional | 53 · Discontinued | $42.66 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $169.82 Typical High $257.04 | Professional | 54 · Surgery only | $158.49 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.88 Typical High $51.29 | Professional | 55 · Aftercare only | $31.62 | $33.88 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.91 Typical High $33.88 | Professional | 56 · Pre-op care only | $20.89 | $22.91 | $33.88 |
Where Alabama sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.