How much rates vary
Facilitymedian $1,318 · 10th to 90th $525 to $4,677Professionalmedian $295 · 10th to 90th $191 to $1,622
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 $190.55 Median $288.40 Typical High $323.59 | Professional | None | $190.55 | $288.40 | $323.59 |
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 $165.96 Median $239.88 Typical High $346.74 | Professional | None | $165.96 | $239.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,344.23 | Facility | None | $1,023.29 | $1,348.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $389.05 | Professional | None | $204.17 | $288.40 | $389.05 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $3,388.44 | Facility | None | $323.59 | $851.14 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $1,621.81 Typical High $2,511.89 | Professional | None | $295.12 | $1,621.81 | $2,511.89 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $407.38 | Professional | None | $204.17 | $281.84 | $407.38 |
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 $95.50 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $95.50 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $56.23 Typical High $58.88 | Professional | 53 · Discontinued | $38.02 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $208.93 Typical High $218.78 | Professional | 54 · Surgery only | $144.54 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $41.69 Typical High $43.65 | Professional | 55 · Aftercare only | $28.84 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $28.18 Typical High $29.51 | Professional | 56 · Pre-op care only | $19.05 | $28.18 | $29.51 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | GC · Resident with teaching physician | $95.50 | $95.50 | $95.50 |
Where Arizona sits
The same service costs 6.1 times more in Michigan 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
MI $4,783MT $790
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.