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 $79.43 Median $107.15 Typical High $141.25 | Professional | None | $79.43 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | 54 · Surgery only | $81.28 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $75.86 | $75.86 | $100.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $75.86 Median $102.33 Typical High $125.89 | Professional | 32 · Mandated service | $75.86 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $478.63 | Facility | None | $43.65 | $52.48 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | None | $97.72 | $114.82 | $138.04 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $141.25 | Professional | None | $56.23 | $75.86 | $141.25 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 50 · Both sides | $954.99 | $954.99 | $954.99 |
Where Alabama sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 18th of 51
$110
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.