How much rates vary
Facilitymedian $2,570 · 10th to 90th $891 to $6,166Professionalmedian $933 · 10th to 90th $813 to $7,244
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 $5,495.41 Typical High $8,317.64 | Facility | None | $977.24 | $5,495.41 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Professional | None | $870.96 | $870.96 | $1,000.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $891.25 Median $2,089.30 Typical High $5,495.41 | Facility | None | $891.25 | $2,089.30 | $5,495.41 |
BCBS Arizona Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,548.82 | Professional | None | $707.95 | $758.58 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $3,162.28 Typical High $5,623.41 | Facility | None | $977.24 | $3,162.28 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,621.81 | Professional | None | $831.76 | $870.96 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,905.46 Typical High $14,454.40 | Facility | None | $794.33 | $1,905.46 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $7,244.36 | Professional | None | $851.14 | $1,258.93 | $7,244.36 |
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 $831.76 Median $954.99 Typical High $1,737.80 | Professional | None | $831.76 | $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 $190.55 | Professional | 53 · Discontinued | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $707.95 | Professional | 54 · Surgery only | $660.69 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $660.69 |
Where Arizona sits
The same service costs 4.1 times more in Alaska 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
AK $9,881DE $2,434
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.