How much rates vary
Facilitymedian $1,380 · 10th to 90th $427 to $5,754Professionalmedian $389 · 10th to 90th $309 to $2,512
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 $316.23 Median $389.05 Typical High $389.05 | Professional | None | $316.23 | $389.05 | $389.05 |
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 $251.19 Median $363.08 Typical High $691.83 | Professional | None | $251.19 | $363.08 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $5,248.07 Typical High $10,232.93 | Facility | None | $512.86 | $5,248.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $676.08 | Professional | None | $302.00 | $363.08 | $676.08 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $12,022.64 | Facility | None | $398.11 | $933.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $2,511.89 Typical High $5,888.44 | Professional | None | $389.05 | $2,511.89 | $5,888.44 |
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 $323.59 Median $407.38 Typical High $691.83 | Professional | None | $323.59 | $407.38 | $691.83 |
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 $158.49 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $31.62 | $38.90 | $38.90 |
Where Arizona sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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 $10,585DE $1,135
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.