How much rates vary
Facilitymedian $5,012 · 10th to 90th $617 to $33,884Professionalmedian $562 · 10th to 90th $468 to $13,490
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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $912.01 | Professional | None | $467.74 | $467.74 | $912.01 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,258.93 | Professional | None | $575.44 | $616.60 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $32,359.37 Typical High $50,118.72 | Facility | None | $691.83 | $32,359.37 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $933.25 | Professional | None | $512.86 | $537.03 | $933.25 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $10,715.19 Typical High $33,884.42 | Facility | None | $575.44 | $10,715.19 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $13,489.63 | Professional | None | $489.78 | $707.95 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $11,481.54 Typical High $23,988.33 | Facility | None | $1,513.56 | $11,481.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $1,023.29 | Professional | None | $478.63 | $549.54 | $1,023.29 |
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 $234.42 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 54 · Surgery only | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $346.74 |
Where Arizona sits
The same service costs 24.6 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 $43,875MT $1,787
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.