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 $616.60 Median $1,258.93 Typical High $2,041.74 | Professional | None | $616.60 | $1,258.93 | $2,041.74 |
BCBS Alabama Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
BCBS Alabama Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,995.26 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,951.21 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,951.21 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,513.56 Typical High $2,089.30 | Professional | None | $467.74 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,630.78 Typical High $6,456.54 | Facility | None | $1,288.25 | $3,630.78 | $6,456.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,318.26 Typical High $2,290.87 | Professional | None | $371.54 | $1,318.26 | $2,290.87 |
4 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 54 · Surgery only Typical Low $467.74 Median $954.99 Typical High $1,548.82 | Professional | 54 · Surgery only | $467.74 | $954.99 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $190.55 Typical High $309.03 | Professional | 55 · Aftercare only | $93.33 | $190.55 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $125.89 Typical High $204.17 | Professional | 56 · Pre-op care only | $61.66 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $891.25 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $436.52 | $891.25 | $1,445.44 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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
$1,950
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.