How much rates vary
Facilitymedian $2,692 · 10th to 90th $692 to $7,943Professionalmedian $832 · 10th to 90th $708 to $5,495
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 $5,248.07 Typical High $10,232.93 | Facility | None | $977.24 | $5,248.07 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,584.89 | Professional | None | $758.58 | $831.76 | $1,584.89 |
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 $630.96 Median $630.96 Typical High $1,230.27 | Professional | None | $630.96 | $630.96 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,318.26 | Professional | None | $794.33 | $831.76 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,090.30 Typical High $7,762.47 | Facility | None | $831.76 | $3,090.30 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $5,495.41 | Professional | None | $758.58 | $1,023.29 | $5,495.41 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,445.44 | Professional | None | $741.31 | $831.76 | $1,445.44 |
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 $416.87 Median $416.87 Typical High $436.52 | Professional | 52 · Reduced service | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | 53 · Discontinued | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | 54 · Surgery only | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $87.10 |
Ambetter Setting Professional Modifier Q0 · Research study, investigational Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | Q0 · Research study, investigational | $602.56 | $602.56 | $602.56 |
Where Arizona sits
The same service costs 8.4 times more in Alabama than in Kentucky. 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
AL $15,863KY $1,884
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.