How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,230 to $16,982Professionalmedian $1,905 · 10th to 90th $1,585 to $12,882
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 $6,309.57 Typical High $9,772.37 | Facility | None | $977.24 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,905.46 | $1,905.46 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $14,454.40 Typical High $24,547.09 | Facility | None | $1,548.82 | $14,454.40 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,621.81 | $1,659.59 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $6,918.31 Typical High $15,488.17 | Facility | None | $1,096.48 | $6,918.31 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $12,882.50 | Professional | None | $1,584.89 | $2,089.30 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $14,125.38 | Facility | None | $1,174.90 | $7,943.28 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,778.28 | $2,754.23 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Where Arizona sits
The same service costs 7.8 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 $31,233KY $3,989
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.