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 $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $363.08 Median $446.68 Typical High $489.78 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $363.08 | $446.68 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $5,754.40 | Facility | None | $1,258.93 | $1,621.81 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $851.14 | Professional | None | $562.34 | $812.83 | $851.14 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,570.40 Typical High $7,943.28 | Facility | None | $1,096.48 | $2,570.40 | $7,943.28 |
United Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $537.03 | Professional | None | $213.80 | $295.12 | $537.03 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $22,387.21 Median $22,387.21 Typical High $22,387.21 | Facility | 50 · Both sides | $22,387.21 | $22,387.21 | $22,387.21 |
Where Alabama sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 5th of 51
$891
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.