How much rates vary
Facilitymedian $14,791 · 10th to 90th $1,995 to $17,378Professionalmedian $550 · 10th to 90th $324 to $708
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 $616.60 Median $1,122.02 Typical High $1,905.46 | Facility | None | $616.60 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Professional | None | $389.05 | $602.56 | $602.56 |
BCBS Alabama Setting Facility Modifier None Typical Low $14,791.08 Median $15,135.61 Typical High $15,135.61 | Facility | None | $14,791.08 | $15,135.61 | $15,135.61 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $501.19 Median $630.96 Typical High $758.58 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $501.19 | $630.96 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $14,791.08 Typical High $18,197.01 | Facility | None | $489.78 | $14,791.08 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $831.76 | Professional | None | $467.74 | $549.54 | $831.76 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,715.19 Typical High $20,892.96 | Facility | None | $3,630.78 | $10,715.19 | $20,892.96 |
United Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $660.69 | Professional | None | $302.00 | $371.54 | $660.69 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Where Alabama sits
The same service costs 29.4 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 $37,066MT $1,262
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.