How much rates vary
Facilitymedian $3,715 · 10th to 90th $708 to $8,913Professionalmedian $302 · 10th to 90th $257 to $2,089
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 $257.04 Median $257.04 Typical High $288.40 | Professional | None | $257.04 | $257.04 | $288.40 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | None | $302.00 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,548.13 Typical High $6,918.31 | Facility | None | $758.58 | $3,548.13 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $426.58 | Professional | None | $275.42 | $288.40 | $426.58 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $4,466.84 Typical High $17,782.79 | Facility | None | $645.65 | $4,466.84 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $2,089.30 | Professional | None | $263.03 | $457.09 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,772.37 | Facility | None | $1,096.48 | $6,309.57 | $9,772.37 |
United Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $398.11 | Professional | None | $257.04 | $302.00 | $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 $125.89 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $125.89 | $144.54 |
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 $190.55 Median $190.55 Typical High $213.80 | Professional | 54 · Surgery only | $190.55 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $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 10.4 times more in Wyoming 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
WY $8,979MT $863
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.