How much rates vary
Facilitymedian $2,884 · 10th to 90th $692 to $18,197Professionalmedian $1,122 · 10th to 90th $1,000 to $8,710
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 $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,047.13 | $1,174.90 |
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 $1,288.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $19,054.61 Typical High $37,153.52 | Facility | None | $1,905.46 | $19,054.61 | $37,153.52 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,778.28 | Professional | None | $977.24 | $1,096.48 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,238.72 Typical High $7,244.36 | Facility | None | $741.31 | $2,238.72 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $8,709.64 | Professional | None | $1,000.00 | $1,230.27 | $8,709.64 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,698.24 | Professional | None | $954.99 | $1,122.02 | $1,698.24 |
2 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 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Arizona sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.