How much rates vary
Facilitymedian $1,259 · 10th to 90th $550 to $5,129Professionalmedian $389 · 10th to 90th $339 to $2,754
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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $436.52 | Professional | None | $338.84 | $338.84 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
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 $389.05 Median $389.05 Typical High $616.60 | Professional | None | $389.05 | $389.05 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $6,760.83 | Facility | None | $812.83 | $1,071.52 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $575.44 | Professional | None | $371.54 | $389.05 | $575.44 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $4,466.84 | Facility | None | $416.87 | $954.99 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $2,754.23 | Professional | None | $354.81 | $489.78 | $2,754.23 |
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 $338.84 Median $389.05 Typical High $537.03 | Professional | None | $338.84 | $389.05 | $537.03 |
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 $169.82 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 54 · Surgery only | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $37.15 |
Where Arizona sits
The same service costs 5.0 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 $5,749MT $1,151
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.