How much rates vary
Facilitymedian $1,259 · 10th to 90th $550 to $4,898Professionalmedian $295 · 10th to 90th $257 to $2,239
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 $257.04 Median $257.04 Typical High $316.23 | Professional | None | $257.04 | $257.04 | $316.23 |
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 $295.12 Median $295.12 Typical High $467.74 | Professional | None | $295.12 | $295.12 | $467.74 |
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 $263.03 Median $295.12 Typical High $416.87 | Professional | None | $263.03 | $295.12 | $416.87 |
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 $263.03 Median $446.68 Typical High $2,238.72 | Professional | None | $263.03 | $446.68 | $2,238.72 |
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 $257.04 Median $288.40 Typical High $398.11 | Professional | None | $257.04 | $288.40 | $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 $128.82 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 53 · Discontinued | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | 54 · Surgery only | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $28.84 |
Where Arizona sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.