How much rates vary
Facilitymedian $1,862 · 10th to 90th $617 to $5,754Professionalmedian $427 · 10th to 90th $372 to $3,090
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 $389.05 Median $389.05 Typical High $537.03 | Professional | None | $389.05 | $389.05 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $794.33 | Professional | None | $489.78 | $489.78 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $6,760.83 | Facility | None | $1,122.02 | $1,513.56 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $645.65 | Professional | None | $363.08 | $398.11 | $645.65 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,659.59 Typical High $5,128.61 | Facility | None | $489.78 | $1,659.59 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $3,090.30 | Professional | None | $371.54 | $467.74 | $3,090.30 |
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 $371.54 Median $407.38 Typical High $630.96 | Professional | None | $371.54 | $407.38 | $630.96 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $269.15 |
Where Arizona sits
The same service costs 4.9 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 $6,755MT $1,384
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.