How much rates vary
Facilitymedian $4,266 · 10th to 90th $912 to $17,378Professionalmedian $871 · 10th to 90th $776 to $6,607
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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | None | $812.83 | $812.83 | $977.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,000.00 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $9,332.54 Typical High $18,197.01 | Facility | None | $851.14 | $9,332.54 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,348.96 | Professional | None | $758.58 | $851.14 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $4,466.84 Typical High $26,302.68 | Facility | None | $933.25 | $4,466.84 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $6,606.93 | Professional | None | $776.25 | $1,071.52 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,606.93 Typical High $18,197.01 | Facility | None | $1,096.48 | $6,606.93 | $18,197.01 |
United Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,318.26 | Professional | None | $758.58 | $851.14 | $1,318.26 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Where Arizona sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.