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 $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 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,388.44 | $3,467.37 | $3,467.37 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $186.21 Median $616.60 Typical High $954.99 | Professional | None (both parts) | $186.21 | $616.60 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $2,290.87 | Facility | None | $199.53 | $549.54 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $288.40 Typical High $331.13 | Professional | 26 · Professional part | $239.88 | $288.40 | $331.13 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,128.61 Typical High $10,471.29 | Facility | None | $1,584.89 | $5,128.61 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $151.36 | $199.53 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $199.53 | $281.84 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Where Alabama sits
The same service costs 28.8 times more in Colorado 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.
Alabama· 32nd of 51
$692
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.