How much rates vary
Facilitymedian $1,862 · 10th to 90th $550 to $5,370Professionalmedian $355 · 10th to 90th $251 to $2,138
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 $977.24 Median $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $446.68 | Professional | None | $251.19 | $354.81 | $446.68 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $416.87 | Professional | None | $213.80 | $281.84 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,570.40 | Facility | None | $691.83 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $467.74 | Professional | None | $245.47 | $338.84 | $467.74 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,621.81 Typical High $6,760.83 | Facility | None | $389.05 | $1,621.81 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $2,137.96 Typical High $3,019.95 | Professional | None | $346.74 | $2,137.96 | $3,019.95 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $478.63 | Professional | None | $251.19 | $338.84 | $478.63 |
6 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 $125.89 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $125.89 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $190.55 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $38.02 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $245.47 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $177.83 | $245.47 | $245.47 |
Where Arizona sits
The same service costs 6.1 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 $6,346MT $1,043
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.