How much rates vary
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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
BCBS Alabama Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,698.24 Typical High $2,398.83 | Facility | None | $549.54 | $1,698.24 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $3,801.89 Typical High $6,606.93 | Professional | None | $398.11 | $3,801.89 | $6,606.93 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,786.30 | Facility | None | $371.54 | $977.24 | $4,786.30 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,495.41 | Professional | None | $3,162.28 | $3,981.07 | $5,495.41 |
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | 52 · Reduced service | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 53 · Discontinued | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 54 · Surgery only | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 55 · Aftercare only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 56 · Pre-op care only | $676.08 | $676.08 | $676.08 |
Where Alabama sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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.
Alabama· 18th of 51
$5,370
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.