How much rates vary
Facilitymedian $4,571 · 10th to 90th $813 to $21,380Professionalmedian $891 · 10th to 90th $776 to $6,457
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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Professional | None | $891.25 | $891.25 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,659.59 | Professional | None | $741.31 | $794.33 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $18,620.87 Typical High $36,307.81 | Facility | None | $758.58 | $18,620.87 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,513.56 | Professional | None | $776.25 | $812.83 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $8,317.64 Typical High $26,302.68 | Facility | None | $954.99 | $8,317.64 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $6,456.54 | Professional | None | $812.83 | $1,122.02 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $9,772.37 Typical High $17,378.01 | Facility | None | $1,258.93 | $9,772.37 | $17,378.01 |
United Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,621.81 | Professional | None | $794.33 | $891.25 | $1,621.81 |
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 $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Where Arizona sits
The same service costs 12.1 times more in Alaska 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
AK $30,383HI $2,517
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.