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 $2,398.83 | Facility | None | $776.25 | $1,258.93 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $363.08 | Professional | None | $281.84 | $288.40 | $363.08 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $302.00 Median $346.74 Typical High $467.74 | Professional | 32 · Mandated service | $302.00 | $346.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,071.52 Typical High $1,318.26 | Facility | None | $549.54 | $1,071.52 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $467.74 | Professional | None | $199.53 | $245.47 | $467.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $316.23 | Professional | None | $173.78 | $234.42 | $316.23 |
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 $144.54 Median $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $144.54 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | 54 · Surgery only | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $257.04 |
Where Alabama sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 34th of 51
$295
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.