How much rates vary
Facilitymedian $12,589 · 10th to 90th $2,042 to $12,589Professionalmedian $912 · 10th to 90th $646 to $1,318
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 $954.99 Median $1,778.28 Typical High $2,754.23 | Facility | None | $954.99 | $1,778.28 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | None | $660.69 | $776.25 | $776.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
BCBS Alabama Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,318.26 | Professional | None | $707.95 | $954.99 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $7,762.47 Typical High $12,882.50 | Facility | None | $5,248.07 | $7,762.47 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,479.11 | Professional | None | $831.76 | $977.24 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $3,801.89 Typical High $15,848.93 | Facility | None | $1,584.89 | $3,801.89 | $15,848.93 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $954.99 | Professional | None | $524.81 | $691.83 | $954.99 |
5 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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Alabama sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.