How much rates vary
Facilitymedian $4,467 · 10th to 90th $479 to $28,184Professionalmedian $316 · 10th to 90th $263 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 $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 $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 $323.59 Median $323.59 Typical High $524.81 | Professional | None | $323.59 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $15,488.17 Typical High $28,840.32 | Facility | None | $537.03 | $15,488.17 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $467.74 | Professional | None | $263.03 | $316.23 | $467.74 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $7,413.10 Typical High $33,113.11 | Facility | None | $446.68 | $7,413.10 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $8,317.64 | Professional | None | $257.04 | $354.81 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $29,512.09 | Facility | None | $1,174.90 | $7,943.28 | $29,512.09 |
United Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $446.68 | Professional | None | $257.04 | $288.40 | $446.68 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $194.98 |
Where Arizona sits
The same service costs 29.1 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 $30,626MT $1,051
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.