How much rates vary
Facilitymedian $977 · 10th to 90th $316 to $3,890Professionalmedian $224 · 10th to 90th $69 to $1,047
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 $69.18 Median $190.55 Typical High $251.19 | Professional | None | $69.18 | $190.55 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $295.12 | Professional | None | $75.86 | $75.86 | $295.12 |
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 $85.11 Median $275.42 Typical High $416.87 | Professional | None | $85.11 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $2,691.53 | Facility | None | $263.03 | $371.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $177.83 Typical High $295.12 | Professional | None | $66.07 | $177.83 | $295.12 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $794.33 Typical High $3,019.95 | Facility | None | $234.42 | $794.33 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $1,047.13 Typical High $2,041.74 | Professional | None | $199.53 | $1,047.13 | $2,041.74 |
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 $64.57 Median $169.82 Typical High $263.03 | Professional | None | $64.57 | $169.82 | $263.03 |
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 $34.67 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $34.67 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $31.62 Typical High $50.12 | Professional | 53 · Discontinued | $14.13 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $120.23 Typical High $186.21 | Professional | 54 · Surgery only | $52.48 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $27.54 Typical High $37.15 | Professional | 55 · Aftercare only | $10.47 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $18.20 Typical High $25.12 | Professional | 56 · Pre-op care only | $6.92 | $18.20 | $25.12 |
Where Arizona sits
The same service costs 9.0 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 $4,579MT $507
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.