How much rates vary
Facilitymedian $2,239 · 10th to 90th $537 to $6,457Professionalmedian $776 · 10th to 90th $676 to $5,888
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 $741.31 Median $741.31 Typical High $851.14 | Professional | None | $741.31 | $741.31 | $851.14 |
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 $602.56 Median $645.65 Typical High $1,348.96 | Professional | None | $602.56 | $645.65 | $1,348.96 |
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 $691.83 Median $724.44 Typical High $1,380.38 | Professional | None | $691.83 | $724.44 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,754.23 Typical High $12,022.64 | Facility | None | $676.08 | $2,754.23 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $5,888.44 | Professional | None | $724.44 | $1,071.52 | $5,888.44 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,479.11 | Professional | None | $691.83 | $812.83 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | 54 · Surgery only | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $562.34 |
Where Arizona sits
The same service costs 5.0 times more in Oklahoma than in Hawaii. 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 $9,757HI $1,932
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.