How much rates vary
Facilitymedian $363 · 10th to 90th $129 to $2,344Professionalmedian $324 · 10th to 90th $257 to $2,399
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 $338.84 Median $346.74 Typical High $398.11 | Professional | None | $338.84 | $346.74 | $398.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $114.82 Median $269.15 Typical High $707.95 | Facility | None | $114.82 | $269.15 | $707.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $363.08 | Professional | None | $269.15 | $309.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $363.08 | Facility | None | $66.07 | $194.98 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $416.87 | Professional | None | $251.19 | $309.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $1,905.46 | Facility | None | $199.53 | $371.54 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $2,398.83 Typical High $2,454.71 | Professional | None | $257.04 | $2,398.83 | $2,454.71 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $446.68 | Professional | None | $239.88 | $295.12 | $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 $169.82 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $67.61 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $257.04 Typical High $269.15 | Professional | 54 · Surgery only | $251.19 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $239.88 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $234.42 | $239.88 | $251.19 |
Where Arizona sits
The same service costs 7.4 times more in Hawaii than in Florida. 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
HI $3,255FL $440
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.