How much rates vary
Facilitymedian $1,778 · 10th to 90th $550 to $5,370Professionalmedian $309 · 10th to 90th $186 to $1,479
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 $309.03 Typical High $346.74 | Professional | None | $190.55 | $309.03 | $346.74 |
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 $151.36 Median $281.84 Typical High $501.19 | Professional | None | $151.36 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,148.15 Typical High $2,187.76 | Facility | None | $691.83 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $457.09 | Professional | None | $177.83 | $295.12 | $457.09 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $5,495.41 | Facility | None | $323.59 | $1,445.44 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,479.11 Typical High $2,630.27 | Professional | None | $275.42 | $1,479.11 | $2,630.27 |
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 $190.55 Median $275.42 Typical High $467.74 | Professional | None | $190.55 | $275.42 | $467.74 |
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 $95.50 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $95.50 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $38.02 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $141.25 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $46.77 Typical High $47.86 | Professional | 55 · Aftercare only | $28.18 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $30.90 Typical High $31.62 | Professional | 56 · Pre-op care only | $19.05 | $30.90 | $31.62 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 51 · Multiple procedures | $104.71 | $104.71 | $104.71 |
Where Arizona sits
The same service costs 7.9 times more in Oklahoma 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
OK $5,867MT $745
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.