How much rates vary
Facilitymedian $2,089 · 10th to 90th $776 to $5,888Professionalmedian $380 · 10th to 90th $309 to $3,981
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 $4,677.35 Typical High $7,943.28 | Facility | None | $977.24 | $4,677.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $426.58 | Professional | None | $338.84 | $398.11 | $426.58 |
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 $257.04 Median $275.42 Typical High $562.34 | Professional | None | $257.04 | $275.42 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $630.96 | Professional | None | $338.84 | $354.81 | $630.96 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,905.46 Typical High $9,120.11 | Facility | None | $489.78 | $1,905.46 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $3,981.07 | Professional | None | $323.59 | $467.74 | $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 $316.23 Median $371.54 Typical High $691.83 | Professional | None | $316.23 | $371.54 | $691.83 |
3 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 $295.12 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Where Arizona sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.