How much rates vary
Facilitymedian $1,047 · 10th to 90th $437 to $4,571Professionalmedian $195 · 10th to 90th $155 to $1,995
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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | None | $154.88 | $154.88 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None | $147.91 | $147.91 | $186.21 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | None | $181.97 | $181.97 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $1,659.59 | Facility | None | $575.44 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $281.84 | Professional | None | $173.78 | $177.83 | $281.84 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $954.99 Typical High $4,466.84 | Facility | None | $354.81 | $954.99 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $309.03 Typical High $1,995.26 | Professional | None | $162.18 | $309.03 | $1,995.26 |
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 $154.88 Median $204.17 Typical High $269.15 | Professional | None | $154.88 | $204.17 | $269.15 |
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 $77.62 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $77.62 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 54 · Surgery only | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $26.30 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $17.78 |
Where Arizona sits
The same service costs 7.7 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 $4,047MT $526
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.