How much rates vary
Facilitymedian $302 · 10th to 90th $69 to $2,344Professionalmedian $102 · 10th to 90th $50 to $501
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 $97.72 Median $3,715.35 Typical High $6,606.93 | Facility | None | $97.72 | $3,715.35 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $97.72 Typical High $151.36 | Professional | None | $50.12 | $97.72 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $107.15 | Professional | None | $56.23 | $100.00 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $69.18 Median $165.96 Typical High $436.52 | Facility | None | $69.18 | $165.96 | $436.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $134.90 | Professional | None | $47.86 | $87.10 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $616.60 | Facility | None | $56.23 | $66.07 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $141.25 | Professional | None | $53.70 | $102.33 | $141.25 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $331.13 Typical High $2,344.23 | Facility | None | $97.72 | $331.13 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $501.19 Typical High $933.25 | Professional | None | $102.33 | $501.19 | $933.25 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $158.49 | Professional | None | $54.95 | $100.00 | $158.49 |
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 $25.12 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $25.12 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $10.00 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $66.07 Typical High $74.13 | Professional | 54 · Surgery only | $38.02 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $13.18 Typical High $14.79 | Professional | 55 · Aftercare only | $7.59 | $13.18 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $8.71 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.01 | $8.71 | $9.77 |
Where Arizona sits
The same service costs 12.9 times more in Colorado than in Maine. 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 $2,408ME $187
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.