How much rates vary
Facilitymedian $3,715 · 10th to 90th $501 to $17,783Professionalmedian $501 · 10th to 90th $174 to $14,454
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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $3,235.94 | Professional | None | $398.11 | $398.11 | $3,235.94 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $316.23 Median $2,238.72 Typical High $4,265.80 | Professional | None | $316.23 | $2,238.72 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $10,000.00 Typical High $19,498.45 | Facility | None | $537.03 | $10,000.00 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $398.11 Typical High $2,511.89 | Professional | None | $169.82 | $398.11 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $4,265.80 Typical High $26,915.35 | Facility | None | $562.34 | $4,265.80 | $26,915.35 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $14,454.40 Typical High $28,183.83 | Professional | None | $190.55 | $14,454.40 | $28,183.83 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $17,378.01 | Facility | None | $1,096.48 | $6,309.57 | $17,378.01 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $1,949.84 | Professional | None | $144.54 | $208.93 | $1,949.84 |
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 $199.53 Median $199.53 Typical High $1,621.81 | Professional | 52 · Reduced service | $199.53 | $199.53 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $645.65 | Professional | 53 · Discontinued | $79.43 | $79.43 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $2,454.71 | Professional | 54 · Surgery only | $295.12 | $295.12 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $489.78 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $323.59 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $2,290.87 |
Where Arizona sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.