How much rates vary
Facilitymedian $2,399 · 10th to 90th $871 to $2,884Professionalmedian $316 · 10th to 90th $174 to $617
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 $281.84 Median $354.81 Typical High $616.60 | Professional | None | $281.84 | $354.81 | $616.60 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
BCBS Alabama Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $190.55 Median $309.03 Typical High $338.84 | Professional | None | $190.55 | $309.03 | $338.84 |
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 $158.49 Median $263.03 Typical High $363.08 | Professional | None | $158.49 | $263.03 | $363.08 |
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 $177.83 Median $177.83 Typical High $309.03 | Professional | 52 · Reduced service | $177.83 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 53 · Discontinued | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $457.09 | Professional | 54 · Surgery only | $263.03 | $263.03 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $91.20 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $245.47 | $245.47 | $426.58 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | 50 · Both sides | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $245.47 Median $338.84 Typical High $436.52 | Professional | 32 · Mandated service | $245.47 | $338.84 | $436.52 |
Where Alabama sits
The same service costs 6.3 times more in Colorado than in Montana. 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 $4,654MT $736
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.