How much rates vary
Facilitymedian $16,218 · 10th to 90th $2,239 to $16,596Professionalmedian $759 · 10th to 90th $550 to $912
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 $954.99 Median $1,584.89 Typical High $2,570.40 | Facility | None | $954.99 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
BCBS Alabama Setting Facility Modifier None Typical Low $16,218.10 Median $16,595.87 Typical High $16,595.87 | Facility | None | $16,218.10 | $16,595.87 | $16,595.87 |
BCBS Alabama Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $977.24 | Professional | None | $549.54 | $741.31 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $7,079.46 Typical High $8,709.64 | Facility | None | $549.54 | $7,079.46 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $912.01 | Professional | None | $660.69 | $812.83 | $912.01 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $5,370.32 Typical High $12,589.25 | Facility | None | $2,089.30 | $5,370.32 | $12,589.25 |
United Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $912.01 | Professional | None | $446.68 | $562.34 | $912.01 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Where Alabama sits
The same service costs 9.8 times more in Alaska than in Montana. 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
AK $17,480MT $1,783
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.