How much rates vary
Facilitymedian $2,042 · 10th to 90th $631 to $5,623Professionalmedian $501 · 10th to 90th $331 to $2,692
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 $331.13 Median $478.63 Typical High $549.54 | Professional | None | $331.13 | $478.63 | $549.54 |
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 $416.87 Median $676.08 Typical High $933.25 | Professional | None | $416.87 | $676.08 | $933.25 |
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 $338.84 Median $467.74 Typical High $707.95 | Professional | None | $338.84 | $467.74 | $707.95 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,621.81 Typical High $8,912.51 | Facility | None | $489.78 | $1,621.81 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $2,691.53 Typical High $3,981.07 | Professional | None | $478.63 | $2,691.53 | $3,981.07 |
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 $323.59 Median $457.09 Typical High $676.08 | Professional | None | $323.59 | $457.09 | $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 $165.96 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $66.07 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $338.84 Typical High $363.08 | Professional | 54 · Surgery only | $251.19 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $67.61 Typical High $74.13 | Professional | 55 · Aftercare only | $50.12 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $45.71 Typical High $48.98 | Professional | 56 · Pre-op care only | $33.11 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $316.23 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $234.42 | $316.23 | $338.84 |
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 $6,438MT $1,383
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.