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 $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 $251.19 Median $251.19 Typical High $323.59 | Professional | None | $251.19 | $251.19 | $323.59 |
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 $275.42 Median $316.23 Typical High $380.19 | Professional | 32 · Mandated service | $275.42 | $316.23 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,659.59 Typical High $2,041.74 | Facility | None | $363.08 | $1,659.59 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $380.19 | Professional | None | $181.97 | $208.93 | $380.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,168.69 | Facility | None | $758.58 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $275.42 | Professional | None | $151.36 | $204.17 | $275.42 |
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 $125.89 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $50.12 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $229.09 |
Where Alabama sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 33rd of 51
$263
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.