How much rates vary
Facilitymedian $257 · 10th to 90th $87 to $2,455Professionalmedian $158 · 10th to 90th $81 to $871
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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $177.83 | Professional | None | $81.28 | $147.91 | $177.83 |
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 $75.86 Median $131.83 Typical High $204.17 | Professional | None | $75.86 | $131.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $229.09 | Facility | None | $66.07 | $123.03 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $229.09 | Professional | None | $95.50 | $162.18 | $229.09 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $2,344.23 | Facility | None | $120.23 | $323.59 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $870.96 Typical High $1,479.11 | Professional | None | $151.36 | $870.96 | $1,479.11 |
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 $89.13 Median $154.88 Typical High $245.47 | Professional | None | $89.13 | $154.88 | $245.47 |
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 $40.74 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $40.74 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $16.22 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $100.00 Typical High $112.20 | Professional | 54 · Surgery only | $60.26 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $19.95 Typical High $22.39 | Professional | 55 · Aftercare only | $12.02 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.49 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.13 | $13.49 | $14.79 |
Where Arizona sits
The same service costs 11.6 times more in Hawaii 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.
Physician feeFacility fee
HI $3,027MD $261
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.