How much rates vary
Facilitymedian $603 · 10th to 90th $155 to $2,570Professionalmedian $219 · 10th to 90th $126 to $1,122
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 $134.90 Median $218.78 Typical High $257.04 | Professional | None | $134.90 | $218.78 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
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 $123.03 Median $239.88 Typical High $416.87 | Professional | None | $123.03 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $1,659.59 | Facility | None | $138.04 | $194.98 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $316.23 | Professional | None | $117.49 | $194.98 | $316.23 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $371.54 Typical High $2,041.74 | Facility | None | $151.36 | $371.54 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $1,122.02 Typical High $1,659.59 | Professional | None | $199.53 | $1,122.02 | $1,659.59 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $316.23 | Professional | None | $128.82 | $199.53 | $316.23 |
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 $67.61 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $67.61 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $27.54 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $158.49 Typical High $169.82 | Professional | 54 · Surgery only | $102.33 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $31.62 Typical High $33.88 | Professional | 55 · Aftercare only | $20.42 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $13.80 | $20.89 | $22.39 |
Where Arizona sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.