How much rates vary
Facilitymedian $776 · 10th to 90th $776 to $2,884Professionalmedian $525 · 10th to 90th $355 to $1,000
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 $537.03 Median $724.44 Typical High $1,000.00 | Professional | None | $537.03 | $724.44 | $1,000.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
BCBS Alabama Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,288.25 | Facility | None | $489.78 | $1,047.13 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $562.34 | Professional | None | $389.05 | $478.63 | $562.34 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,073.80 | Facility | None | $758.58 | $1,737.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $602.56 | Professional | None | $323.59 | $457.09 | $602.56 |
8 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 $346.74 Median $363.08 Typical High $501.19 | Professional | 52 · Reduced service | $346.74 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $199.53 | Professional | 53 · Discontinued | $138.04 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $549.54 Typical High $758.58 | Professional | 54 · Surgery only | $512.86 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $151.36 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $100.00 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $512.86 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $478.63 | $512.86 | $707.95 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Facility | 50 · Both sides | $1,148.15 | $1,174.90 | $1,174.90 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $416.87 Median $575.44 Typical High $691.83 | Professional | 32 · Mandated service | $416.87 | $575.44 | $691.83 |
Where Alabama sits
The same service costs 3.8 times more in Colorado than in Alabama. 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
CO $4,902AL $1,301
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.