How much rates vary
Facilitymedian $2,291 · 10th to 90th $851 to $7,943Professionalmedian $457 · 10th to 90th $407 to $3,548
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 $446.68 Median $446.68 Typical High $645.65 | Professional | None | $446.68 | $446.68 | $645.65 |
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 $549.54 Median $549.54 Typical High $891.25 | Professional | None | $549.54 | $549.54 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $5,248.07 | Facility | None | $1,348.96 | $1,905.46 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $707.95 | Professional | None | $407.38 | $457.09 | $707.95 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,905.46 Typical High $8,912.51 | Facility | None | $537.03 | $1,905.46 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $3,548.13 | Professional | None | $398.11 | $549.54 | $3,548.13 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $691.83 | Professional | None | $389.05 | $446.68 | $691.83 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Where Arizona sits
The same service costs 5.4 times more in Alabama 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
AL $8,312MT $1,553
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.