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 $891.25 Median $1,348.96 Typical High $2,398.83 | Facility | None | $891.25 | $1,348.96 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $977.24 | Professional | None | $549.54 | $954.99 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
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 $707.95 Median $870.96 Typical High $1,023.29 | Professional | None | $707.95 | $870.96 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $501.19 | Facility | None | $281.84 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $1,023.29 | Professional | None | $457.09 | $537.03 | $1,023.29 |
United Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $2,511.89 | Facility | None | $309.03 | $616.60 | $2,511.89 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $707.95 | Professional | None | $407.38 | $489.78 | $707.95 |
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 $354.81 Median $478.63 Typical High $489.78 | Professional | 52 · Reduced service | $354.81 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $141.25 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $707.95 Typical High $741.31 | Professional | 54 · Surgery only | $524.81 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $144.54 Typical High $147.91 | Professional | 55 · Aftercare only | $107.15 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $70.79 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $660.69 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $489.78 | $660.69 | $691.83 |
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 6.2 times more in Alaska 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· 15th 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.