How much rates vary
Facilitymedian $1,380 · 10th to 90th $589 to $5,129Professionalmedian $1,096 · 10th to 90th $955 to $7,586
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 $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,258.93 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,248.07 | Facility | None | $1,096.48 | $1,513.56 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,047.13 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $4,897.79 | Facility | None | $489.78 | $954.99 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $7,585.78 | Professional | None | $977.24 | $1,348.96 | $7,585.78 |
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 $954.99 Median $1,096.48 Typical High $1,995.26 | Professional | None | $954.99 | $1,096.48 | $1,995.26 |
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 $707.95 Median $707.95 Typical High $724.44 | Professional | 54 · Surgery only | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $676.08 |
Where Arizona sits
The same service costs 3.4 times more in Alaska 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
AK $7,428KY $2,193
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.