How much rates vary
Facilitymedian $3,311 · 10th to 90th $776 to $7,762Professionalmedian $661 · 10th to 90th $550 to $4,677
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 $588.84 Median $588.84 Typical High $676.08 | Professional | None | $588.84 | $588.84 | $676.08 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,122.02 | Professional | None | $707.95 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $3,311.31 Typical High $6,309.57 | Facility | None | $1,047.13 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $912.01 | Professional | None | $549.54 | $660.69 | $912.01 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,801.89 Typical High $13,489.63 | Facility | None | $741.31 | $3,801.89 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $4,677.35 | Professional | None | $549.54 | $954.99 | $4,677.35 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $851.14 | Professional | None | $524.81 | $616.60 | $851.14 |
6 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 $295.12 Median $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 53 · Discontinued | $117.49 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | 54 · Surgery only | $446.68 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $446.68 |
Where Arizona sits
The same service costs 5.4 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 $11,084MT $2,070
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.