How much rates vary
Facilitymedian $1,905 · 10th to 90th $646 to $5,623Professionalmedian $724 · 10th to 90th $562 to $5,012
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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $831.76 | Professional | None | $588.84 | $724.44 | $831.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $870.96 | Professional | None | $501.19 | $630.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,691.53 | Facility | None | $758.58 | $1,318.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $977.24 | Professional | None | $562.34 | $707.95 | $977.24 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,621.81 Typical High $5,623.41 | Facility | None | $645.65 | $1,621.81 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $5,011.87 Typical High $6,165.95 | Professional | None | $707.95 | $5,011.87 | $6,165.95 |
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 $562.34 Median $691.83 Typical High $977.24 | Professional | None | $562.34 | $691.83 | $977.24 |
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 $295.12 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $295.12 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $436.52 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $58.88 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $407.38 | $512.86 | $512.86 |
Where Arizona sits
The same service costs 3.1 times more in Alaska 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
AK $5,990MD $1,938
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.