How much rates vary
Facilitymedian $2,042 · 10th to 90th $776 to $5,888Professionalmedian $692 · 10th to 90th $550 to $5,248
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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $851.14 | Professional | None | $724.44 | $741.31 | $851.14 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $3,311.31 | Facility | None | $851.14 | $1,445.44 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $891.25 | Professional | None | $537.03 | $676.08 | $891.25 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $6,918.31 | Facility | None | $741.31 | $1,905.46 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $5,248.07 | Professional | None | $549.54 | $954.99 | $5,248.07 |
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 $537.03 Median $645.65 Typical High $1,000.00 | Professional | None | $537.03 | $645.65 | $1,000.00 |
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 $371.54 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $588.84 | Professional | 54 · Surgery only | $549.54 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $549.54 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.