How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,585 to $22,387Professionalmedian $5,495 · 10th to 90th $490 to $10,965
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 $6,309.57 Typical High $9,772.37 | Facility | None | $977.24 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $2,570.40 Typical High $7,413.10 | Professional | None | $549.54 | $2,570.40 | $7,413.10 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $5,888.44 Typical High $13,489.63 | Facility | None | $1,659.59 | $5,888.44 | $13,489.63 |
BCBS Arizona Setting Professional Modifier None Typical Low $457.09 Median $3,235.94 Typical High $8,128.31 | Professional | None | $457.09 | $3,235.94 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $14,791.08 Typical High $25,703.96 | Facility | None | $1,548.82 | $14,791.08 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $1,318.26 Typical High $8,128.31 | Professional | None | $512.86 | $1,318.26 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $10,000.00 Typical High $25,703.96 | Facility | None | $1,148.15 | $10,000.00 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $6,025.60 Median $8,317.64 Typical High $19,498.45 | Professional | None | $6,025.60 | $8,317.64 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $11,481.54 Typical High $25,118.86 | Facility | None | $1,513.56 | $11,481.54 | $25,118.86 |
United Setting Professional Modifier None Typical Low $489.78 Median $4,897.79 Typical High $8,912.51 | Professional | None | $489.78 | $4,897.79 | $8,912.51 |
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 $275.42 Median $338.84 Typical High $2,754.23 | Professional | 52 · Reduced service | $275.42 | $338.84 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $134.90 Typical High $1,122.02 | Professional | 53 · Discontinued | $109.65 | $134.90 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $512.86 Typical High $4,168.69 | Professional | 54 · Surgery only | $407.38 | $512.86 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $102.33 Typical High $831.76 | Professional | 55 · Aftercare only | $83.18 | $102.33 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $67.61 Typical High $549.54 | Professional | 56 · Pre-op care only | $54.95 | $67.61 | $549.54 |
Where Arizona sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.