How much rates vary
Facilitymedian $1,820 · 10th to 90th $550 to $5,370Professionalmedian $490 · 10th to 90th $355 to $2,884
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 $354.81 Median $467.74 Typical High $616.60 | Professional | None | $354.81 | $467.74 | $616.60 |
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 $446.68 Median $660.69 Typical High $891.25 | Professional | None | $446.68 | $660.69 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,570.40 | Facility | None | $691.83 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $707.95 | Professional | None | $346.74 | $467.74 | $707.95 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,621.81 Typical High $6,760.83 | Facility | None | $489.78 | $1,621.81 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $2,884.03 Typical High $4,677.35 | Professional | None | $457.09 | $2,884.03 | $4,677.35 |
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 $338.84 Median $446.68 Typical High $676.08 | Professional | None | $338.84 | $446.68 | $676.08 |
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 $177.83 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $269.15 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $43.65 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $309.03 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $251.19 | $309.03 | $331.13 |
Where Arizona sits
The same service costs 4.7 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 $6,464MT $1,390
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.