How much rates vary
Facilitymedian $1,413 · 10th to 90th $490 to $5,129Professionalmedian $589 · 10th to 90th $309 to $3,631
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 $371.54 Median $549.54 Typical High $776.25 | Professional | None | $371.54 | $549.54 | $776.25 |
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 $302.00 Median $776.25 Typical High $1,000.00 | Professional | None | $302.00 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,949.84 | Facility | None | $512.86 | $1,096.48 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $831.76 | Professional | None | $302.00 | $524.81 | $831.76 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $5,248.07 | Facility | None | $524.81 | $1,621.81 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $3,630.78 Typical High $6,606.93 | Professional | None | $524.81 | $3,630.78 | $6,606.93 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $794.33 | Professional | None | $295.12 | $501.19 | $794.33 |
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 $186.21 Median $234.42 Typical High $389.05 | Professional | 52 · Reduced service | $186.21 | $234.42 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $74.13 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | 54 · Surgery only | $281.84 | $354.81 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $114.82 | Professional | 55 · Aftercare only | $56.23 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $47.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $37.15 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $331.13 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $263.03 | $331.13 | $537.03 |
Where Arizona sits
The same service costs 3.2 times more in Colorado 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
CO $4,968MT $1,567
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.