How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,047 to $8,710Professionalmedian $933 · 10th to 90th $794 to $6,761
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 $5,623.41 Typical High $9,772.37 | Facility | None | $977.24 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,548.82 | Professional | None | $691.83 | $741.31 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $5,495.41 Typical High $10,471.29 | Facility | None | $1,174.90 | $5,495.41 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,621.81 | Professional | None | $812.83 | $851.14 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $13,489.63 | Facility | None | $891.25 | $3,801.89 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $6,760.83 | Professional | None | $851.14 | $1,258.93 | $6,760.83 |
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 $812.83 Median $954.99 Typical High $1,737.80 | Professional | None | $812.83 | $954.99 | $1,737.80 |
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 $436.52 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $436.52 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | 53 · Discontinued | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | 54 · Surgery only | $645.65 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $645.65 |
Where Arizona sits
The same service costs 4.6 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 $13,103MT $2,825
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.