How much rates vary
Facilitymedian $2,884 · 10th to 90th $977 to $7,762Professionalmedian $1,318 · 10th to 90th $1,148 to $9,333
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 $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,148.15 | $1,288.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,380.38 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,370.32 Typical High $10,232.93 | Facility | None | $1,548.82 | $5,370.32 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,202.26 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,659.59 Typical High $4,365.16 | Facility | None | $741.31 | $1,659.59 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $9,332.54 | Professional | None | $1,148.15 | $1,479.11 | $9,332.54 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,888.44 | Facility | None | $794.33 | $2,089.30 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,258.93 | $1,949.84 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Where Arizona sits
The same service costs 6.1 times more in Alaska than in Texas. 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 $14,041TX $2,290
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.