How much rates vary
Facilitymedian $8,913 · 10th to 90th $166 to $9,120Professionalmedian $759 · 10th to 90th $562 to $933
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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $204.17 | $213.80 | $213.80 |
BCBS Alabama Setting Facility Modifier None Typical Low $8,912.51 Median $9,120.11 Typical High $9,120.11 | Facility | None | $8,912.51 | $9,120.11 | $9,120.11 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $245.47 Median $389.05 Typical High $724.44 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $245.47 | $389.05 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $645.65 | $758.58 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $575.44 Typical High $724.44 | Professional | 26 · Professional part | $489.78 | $575.44 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $181.97 | $234.42 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $5,495.41 | Facility | None | $100.00 | $363.08 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $524.81 | $676.08 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $407.38 Typical High $562.34 | Professional | 26 · Professional part | $309.03 | $407.38 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $269.15 | $426.58 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Where Alabama sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 14th of 51
$891
NE $2,818MD $501
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.