How much rates vary
Facilitymedian $1,950 · 10th to 90th $575 to $5,623Professionalmedian $275 · 10th to 90th $219 to $2,818
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 $245.47 Median $275.42 Typical High $512.86 | Professional | None | $245.47 | $275.42 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $371.54 | Professional | None | $186.21 | $281.84 | $371.54 |
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 $177.83 Median $190.55 Typical High $389.05 | Professional | None | $177.83 | $190.55 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,949.84 Typical High $3,467.37 | Facility | None | $691.83 | $1,949.84 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $436.52 | Professional | None | $234.42 | $245.47 | $436.52 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,778.28 Typical High $9,120.11 | Facility | None | $478.63 | $1,778.28 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $2,818.38 | Professional | None | $229.09 | $338.84 | $2,818.38 |
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 $218.78 Median $257.04 Typical High $478.63 | Professional | None | $218.78 | $257.04 | $478.63 |
5 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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $27.54 |
Where Arizona sits
The same service costs 8.5 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 $6,252MT $735
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.