How much rates vary
Facilitymedian $1,259 · 10th to 90th $550 to $4,898Professionalmedian $251 · 10th to 90th $219 to $2,884
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 $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | None | $218.78 | $218.78 | $269.15 |
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 $251.19 Median $251.19 Typical High $398.11 | Professional | None | $251.19 | $251.19 | $398.11 |
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 $223.87 Median $245.47 Typical High $354.81 | Professional | None | $223.87 | $245.47 | $354.81 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $4,897.79 | Facility | None | $380.19 | $954.99 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $380.19 Typical High $2,884.03 | Professional | None | $223.87 | $380.19 | $2,884.03 |
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 $213.80 Median $245.47 Typical High $346.74 | Professional | None | $213.80 | $245.47 | $346.74 |
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 $109.65 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | 54 · Surgery only | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $24.55 |
Where Arizona sits
The same service costs 5.7 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 $4,214MT $743
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.