How much rates vary
Facilitymedian $2,042 · 10th to 90th $631 to $5,623Professionalmedian $363 · 10th to 90th $245 to $1,995
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 $245.47 Median $346.74 Typical High $363.08 | Professional | None | $245.47 | $346.74 | $363.08 |
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 $302.00 Median $478.63 Typical High $660.69 | Professional | None | $302.00 | $478.63 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,905.46 Typical High $3,388.44 | Facility | None | $794.33 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $524.81 | Professional | None | $245.47 | $338.84 | $524.81 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,445.44 Typical High $8,912.51 | Facility | None | $363.08 | $1,445.44 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,995.26 Typical High $3,019.95 | Professional | None | $346.74 | $1,995.26 | $3,019.95 |
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 $234.42 Median $331.13 Typical High $501.19 | Professional | None | $234.42 | $331.13 | $501.19 |
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 $120.23 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $120.23 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $48.98 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $251.19 Typical High $269.15 | Professional | 54 · Surgery only | $181.97 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $50.12 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $33.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $234.42 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $169.82 | $234.42 | $251.19 |
Where Arizona sits
The same service costs 6.3 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 $6,296MT $1,002
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.