How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,122 to $12,023Professionalmedian $575 · 10th to 90th $501 to $4,074
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 $8,912.51 | Facility | None | $977.24 | $5,623.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $575.44 | Professional | None | $501.19 | $501.19 | $575.44 |
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 $537.03 Median $575.44 Typical High $1,174.90 | Professional | None | $537.03 | $575.44 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $7,943.28 Typical High $15,135.61 | Facility | None | $1,318.26 | $7,943.28 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $1,000.00 | Professional | None | $512.86 | $575.44 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $6,918.31 Typical High $17,378.01 | Facility | None | $645.65 | $6,918.31 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $4,073.80 | Professional | None | $512.86 | $741.31 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $12,302.69 | Facility | None | $1,174.90 | $7,943.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $1,047.13 | Professional | None | $489.78 | $575.44 | $1,047.13 |
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 $251.19 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 54 · Surgery only | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $51.29 |
Where Arizona sits
The same service costs 9.8 times more in Alaska 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
AK $17,480MT $1,783
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.