How much rates vary
Facilitymedian $14,791 · 10th to 90th $1,585 to $14,791Professionalmedian $1,698 · 10th to 90th $977 to $1,905
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 $1,096.48 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,862.09 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
BCBS Alabama Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $831.76 Median $1,122.02 Typical High $1,479.11 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $831.76 | $1,122.02 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,466.84 Typical High $11,220.18 | Facility | None | $501.19 | $4,466.84 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,698.24 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $9,332.54 Typical High $20,892.96 | Facility | None | $1,905.46 | $9,332.54 | $20,892.96 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,659.59 | Professional | None | $851.14 | $1,148.15 | $1,659.59 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Where Alabama sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.