How much rates vary
Facilitymedian $1,950 · 10th to 90th $603 to $5,370Professionalmedian $692 · 10th to 90th $178 to $2,884
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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $691.83 Typical High $912.01 | Professional | None | $190.55 | $691.83 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $691.83 | Professional | None | $173.78 | $173.78 | $691.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $147.91 Median $501.19 Typical High $1,047.13 | Professional | None | $147.91 | $501.19 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,995.26 Typical High $3,548.13 | Facility | None | $691.83 | $1,995.26 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $645.65 Typical High $1,174.90 | Professional | None | $177.83 | $645.65 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,621.81 Typical High $9,332.54 | Facility | None | $549.54 | $1,621.81 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $2,884.03 Typical High $8,317.64 | Professional | None | $691.83 | $2,884.03 | $8,317.64 |
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 $165.96 Median $478.63 Typical High $1,230.27 | Professional | None | $165.96 | $478.63 | $1,230.27 |
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 $95.50 Median $162.18 Typical High $346.74 | Professional | 52 · Reduced service | $95.50 | $162.18 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $66.07 Typical High $138.04 | Professional | 53 · Discontinued | $38.02 | $66.07 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $245.47 Typical High $524.81 | Professional | 54 · Surgery only | $141.25 | $245.47 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $48.98 Typical High $104.71 | Professional | 55 · Aftercare only | $28.18 | $48.98 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $32.36 Typical High $69.18 | Professional | 56 · Pre-op care only | $19.05 | $32.36 | $69.18 |
Where Arizona sits
The same service costs 3.8 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 $5,124MT $1,344
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.