How much rates vary
Facilitymedian $30,200 · 10th to 90th $1,862 to $30,200Professionalmedian $724 · 10th to 90th $457 to $813
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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $812.83 | Professional | None | $588.84 | $812.83 | $812.83 |
BCBS Alabama Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $398.11 Median $549.54 Typical High $758.58 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $398.11 | $549.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $26,302.68 Typical High $33,113.11 | Facility | None | $489.78 | $26,302.68 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $812.83 | Professional | None | $549.54 | $724.44 | $812.83 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $11,220.18 Typical High $21,379.62 | Facility | None | $3,630.78 | $11,220.18 | $21,379.62 |
United Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $812.83 | Professional | None | $416.87 | $489.78 | $812.83 |
7 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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $44,668.36 Median $45,708.82 Typical High $45,708.82 | Facility | 50 · Both sides | $44,668.36 | $45,708.82 | $45,708.82 |
Where Alabama sits
The same service costs 24.6 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 $43,875MT $1,787
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.