How much rates vary
Facilitymedian $776 · 10th to 90th $776 to $2,884Professionalmedian $741 · 10th to 90th $589 to $1,349
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 $794.33 Median $1,513.56 Typical High $2,398.83 | Facility | None | $794.33 | $1,513.56 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $870.96 | $1,348.96 | $1,348.96 |
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,778.28 | Facility | None | $645.65 | $1,258.93 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $891.25 | Professional | None | $630.96 | $741.31 | $891.25 |
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 $575.44 Median $676.08 Typical High $912.01 | Professional | None | $575.44 | $676.08 | $912.01 |
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 $489.78 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $489.78 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $194.98 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $724.44 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $144.54 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $97.72 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $676.08 | $954.99 | $954.99 |
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 $630.96 Median $851.14 Typical High $1,023.29 | Professional | 32 · Mandated service | $630.96 | $851.14 | $1,023.29 |
Where Alabama sits
The same service costs 4.0 times more in Alaska 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
AK $6,054AL $1,518
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.