How much rates vary
Facilitymedian $30,200 · 10th to 90th $1,698 to $30,200Professionalmedian $676 · 10th to 90th $229 to $5,495
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 $676.08 Median $676.08 Typical High $5,495.41 | Professional | None | $676.08 | $676.08 | $5,495.41 |
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 None Typical Low $2,454.71 Median $3,388.44 Typical High $4,570.88 | Professional | None | $2,454.71 | $3,388.44 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $8,128.31 Typical High $10,232.93 | Facility | None | $363.08 | $8,128.31 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $380.19 | Professional | None | $229.09 | $302.00 | $380.19 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $12,022.64 | Facility | None | $1,698.24 | $3,801.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $2,089.30 | Professional | None | $229.09 | $389.05 | $2,089.30 |
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 $338.84 Median $338.84 Typical High $2,754.23 | Professional | 52 · Reduced service | $338.84 | $338.84 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $1,096.48 | Professional | 53 · Discontinued | $134.90 | $134.90 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $4,168.69 | Professional | 54 · Surgery only | $512.86 | $512.86 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $831.76 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $549.54 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $3,890.45 |
Where Alabama sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.