How much rates vary
Facilitymedian $1,380 · 10th to 90th $479 to $5,495Professionalmedian $1,175 · 10th to 90th $1,047 to $9,550
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,348.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,011.87 Typical High $9,549.93 | Facility | None | $1,548.82 | $5,011.87 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,174.90 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $3,235.94 | Facility | None | $478.63 | $954.99 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $9,549.93 | Professional | None | $1,047.13 | $1,348.96 | $9,549.93 |
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 $1,047.13 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,174.90 | $1,819.70 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Where Arizona sits
The same service costs 5.9 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 $12,256TX $2,071
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.