How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,023 to $8,511Professionalmedian $708 · 10th to 90th $575 to $5,129
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 $5,623.41 Typical High $8,912.51 | Facility | None | $977.24 | $5,623.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $891.25 | Professional | None | $616.60 | $707.95 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,698.24 Median $4,073.80 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,073.80 | $10,715.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | None | $537.03 | $537.03 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $4,677.35 Typical High $8,317.64 | Facility | None | $1,548.82 | $4,677.35 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,047.13 | Professional | None | $630.96 | $660.69 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $3,235.94 Typical High $8,128.31 | Facility | None | $776.25 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $5,128.61 | Professional | None | $630.96 | $891.25 | $5,128.61 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,000.00 | Professional | None | $630.96 | $707.95 | $1,000.00 |
5 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 $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $75.86 |
Where Arizona sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.