How much rates vary
Facilitymedian $1,072 · 10th to 90th $457 to $4,677Professionalmedian $525 · 10th to 90th $66 to $2,138
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 $64.57 Median $426.58 Typical High $562.34 | Professional | None | $64.57 | $426.58 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 $72.44 Median $489.78 Typical High $741.31 | Professional | None | $72.44 | $489.78 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $2,691.53 | Facility | None | $812.83 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $245.47 Typical High $645.65 | Professional | None | $72.44 | $245.47 | $645.65 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $891.25 Typical High $4,897.79 | Facility | None | $354.81 | $891.25 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $2,137.96 Typical High $4,265.80 | Professional | None | $524.81 | $2,137.96 | $4,265.80 |
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 $67.61 Median $380.19 Typical High $630.96 | Professional | None | $67.61 | $380.19 | $630.96 |
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 $31.62 Median $114.82 Typical High $257.04 | Professional | 52 · Reduced service | $31.62 | $114.82 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $46.77 Typical High $102.33 | Professional | 53 · Discontinued | $12.88 | $46.77 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $173.78 Typical High $380.19 | Professional | 54 · Surgery only | $47.86 | $173.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $64.57 Typical High $75.86 | Professional | 55 · Aftercare only | $9.55 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $6.46 | $42.66 | $51.29 |
Where Arizona sits
The same service costs 5.6 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 $4,728MT $843
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.