How much rates vary
Facilitymedian $2,089 · 10th to 90th $617 to $6,166Professionalmedian $501 · 10th to 90th $437 to $3,548
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 $436.52 Median $436.52 Typical High $562.34 | Professional | None | $436.52 | $436.52 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $602.56 | Professional | None | $407.38 | $602.56 | $602.56 |
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 $501.19 Median $501.19 Typical High $776.25 | Professional | None | $501.19 | $501.19 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $4,466.84 Typical High $7,585.78 | Facility | None | $1,548.82 | $4,466.84 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $707.95 | Professional | None | $467.74 | $489.78 | $707.95 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,737.80 Typical High $5,128.61 | Facility | None | $524.81 | $1,737.80 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $3,548.13 | Professional | None | $457.09 | $616.60 | $3,548.13 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $691.83 | Professional | None | $426.58 | $501.19 | $691.83 |
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 $218.78 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $331.13 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $47.86 |
Where Arizona sits
The same service costs 5.9 times more in Alaska 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
AK $8,723MT $1,483
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.