How much rates vary
Facilitymedian $1,862 · 10th to 90th $457 to $5,623Professionalmedian $417 · 10th to 90th $324 to $2,570
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 $331.13 Median $407.38 Typical High $407.38 | Professional | None | $331.13 | $407.38 | $407.38 |
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 $263.03 Median $371.54 Typical High $707.95 | Professional | None | $263.03 | $371.54 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,884.03 Typical High $5,623.41 | Facility | None | $512.86 | $2,884.03 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $707.95 | Professional | None | $309.03 | $380.19 | $707.95 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $12,022.64 | Facility | None | $446.68 | $1,621.81 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $2,570.40 Typical High $6,165.95 | Professional | None | $416.87 | $2,570.40 | $6,165.95 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $707.95 | Professional | None | $338.84 | $416.87 | $707.95 |
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 $165.96 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $33.11 | $40.74 | $40.74 |
Where Arizona sits
The same service costs 6.3 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 $7,350MT $1,166
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.