How much rates vary
Facilitymedian $1,122 · 10th to 90th $447 to $5,012Professionalmedian $219 · 10th to 90th $174 to $4,074
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 $5,495.41 Typical High $8,317.64 | Facility | None | $977.24 | $5,495.41 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | None | $173.78 | $173.78 | $199.53 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $389.05 | Professional | None | $173.78 | $186.21 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $2,691.53 | Facility | None | $776.25 | $1,023.29 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $398.11 | Professional | None | $204.17 | $208.93 | $398.11 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $954.99 Typical High $5,011.87 | Facility | None | $338.84 | $954.99 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $4,073.80 | Professional | None | $186.21 | $331.13 | $4,073.80 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $398.11 | Professional | None | $177.83 | $251.19 | $398.11 |
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 $85.11 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 54 · Surgery only | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $19.05 |
Where Arizona sits
The same service costs 7.6 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 $4,681MT $618
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.