How much rates vary
Facilitymedian $1,445 · 10th to 90th $120 to $6,026Professionalmedian $912 · 10th to 90th $692 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 Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,479.11 | Professional | None | $691.83 | $691.83 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,949.84 | Professional | None | $870.96 | $933.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,584.89 | Professional | None | $794.33 | $831.76 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $1,071.52 Typical High $5,128.61 | Facility | None | $104.71 | $1,071.52 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $6,456.54 | Professional | None | $831.76 | $1,258.93 | $6,456.54 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,584.89 | Professional | None | $812.83 | $933.25 | $1,584.89 |
4 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 $346.74 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $141.25 | $158.49 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 80 · Assistant surgeon | $186.21 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | AS · PA/NP assist | $102.33 | $102.33 | $125.89 |
Where Arizona sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.