How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,230 to $10,000Professionalmedian $891 · 10th to 90th $724 to $8,318
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 $5,623.41 Typical High $9,772.37 | Facility | None | $977.24 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,122.02 | Professional | None | $724.44 | $724.44 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,905.46 | Professional | None | $851.14 | $912.01 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $5,888.44 Typical High $10,471.29 | Facility | None | $2,041.74 | $5,888.44 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,445.44 | Professional | None | $741.31 | $812.83 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $4,466.84 Typical High $9,332.54 | Facility | None | $933.25 | $4,466.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $8,317.64 | Professional | None | $794.33 | $1,071.52 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,772.37 | Facility | None | $1,096.48 | $6,309.57 | $9,772.37 |
United Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,621.81 | Professional | None | $776.25 | $912.01 | $1,621.81 |
2 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 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Where Arizona sits
The same service costs 6.1 times more in Colorado 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
CO $15,685MT $2,577
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.