How much rates vary
Facilitymedian $1,230 · 10th to 90th $525 to $4,898Professionalmedian $447 · 10th to 90th $178 to $1,862
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 $3,019.95 Typical High $6,760.83 | Facility | None | $977.24 | $3,019.95 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $489.78 | Professional | None | $177.83 | $275.42 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | None | $177.83 | $177.83 | $229.09 |
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 $208.93 Median $501.19 Typical High $758.58 | Professional | None | $208.93 | $501.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,023.29 Typical High $2,187.76 | Facility | None | $691.83 | $1,023.29 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $524.81 | Professional | None | $199.53 | $281.84 | $524.81 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $954.99 Typical High $4,897.79 | Facility | None | $398.11 | $954.99 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $1,862.09 Typical High $3,630.78 | Professional | None | $208.93 | $1,862.09 | $3,630.78 |
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 $181.97 Median $218.78 Typical High $512.86 | Professional | None | $181.97 | $218.78 | $512.86 |
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 $89.13 Median $131.83 Typical High $223.87 | Professional | 52 · Reduced service | $89.13 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $53.70 Typical High $89.13 | Professional | 53 · Discontinued | $35.48 | $53.70 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $199.53 Typical High $331.13 | Professional | 54 · Surgery only | $134.90 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $39.81 Typical High $66.07 | Professional | 55 · Aftercare only | $26.92 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $26.30 Typical High $44.67 | Professional | 56 · Pre-op care only | $17.78 | $26.30 | $44.67 |
Where Arizona sits
The same service costs 4.1 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 $4,142MT $1,002
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.