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 $275.42 Median $416.87 Typical High $467.74 | Professional | None | $275.42 | $416.87 | $467.74 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS Alabama Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $346.74 | Professional | None | $213.80 | $295.12 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $501.19 | Facility | None | $128.82 | $162.18 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $380.19 | Professional | None | $213.80 | $251.19 | $380.19 |
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 $181.97 Median $218.78 Typical High $309.03 | Professional | None | $181.97 | $218.78 | $309.03 |
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 $165.96 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $165.96 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $251.19 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $70.79 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $234.42 | $295.12 | $323.59 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 50 · Both sides | $691.83 | $691.83 | $691.83 |
Where Alabama sits
The same service costs 4.3 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· 21st of 51
$309
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.