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 $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 $676.08 Median $954.99 Typical High $954.99 | Professional | None | $676.08 | $954.99 | $954.99 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Alabama Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $741.31 | Professional | None | $436.52 | $602.56 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,089.30 Typical High $2,630.27 | Facility | None | $489.78 | $2,089.30 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $630.96 | Professional | None | $436.52 | $512.86 | $630.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,265.80 | Facility | None | $758.58 | $1,737.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $630.96 | Professional | None | $389.05 | $478.63 | $630.96 |
7 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 $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $138.04 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $512.86 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $102.33 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $478.63 | $676.08 | $676.08 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Facility | 50 · Both sides | $2,344.23 | $2,398.83 | $2,398.83 |
Where Alabama sits
The same service costs 7.9 times more in Wyoming than in Utah. 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· 19th of 51
$776
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.