How much rates vary
Facilitymedian $2,042 · 10th to 90th $631 to $5,888Professionalmedian $355 · 10th to 90th $309 to $2,818
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 $316.23 Median $316.23 Typical High $354.81 | Professional | None | $316.23 | $316.23 | $354.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $630.96 | Professional | None | $389.05 | $389.05 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $3,388.44 | Facility | None | $758.58 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $562.34 | Professional | None | $295.12 | $323.59 | $562.34 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,862.09 Typical High $8,912.51 | Facility | None | $457.09 | $1,862.09 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $2,818.38 | Professional | None | $309.03 | $436.52 | $2,818.38 |
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 $302.00 Median $338.84 Typical High $524.81 | Professional | None | $302.00 | $338.84 | $524.81 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $223.87 |
Where Arizona sits
The same service costs 6.0 times more in Colorado 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
CO $6,645MT $1,112
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.