How much rates vary
Facilitymedian $1,862 · 10th to 90th $575 to $5,623Professionalmedian $355 · 10th to 90th $288 to $2,754
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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $467.74 | Professional | None | $346.74 | $380.19 | $467.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | None | $295.12 | $295.12 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,238.72 | Facility | None | $691.83 | $1,258.93 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $467.74 | Professional | None | $281.84 | $354.81 | $467.74 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,905.46 Typical High $5,754.40 | Facility | None | $489.78 | $1,905.46 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $2,754.23 | Professional | None | $281.84 | $489.78 | $2,754.23 |
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 $275.42 Median $346.74 Typical High $512.86 | Professional | None | $275.42 | $346.74 | $512.86 |
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 $190.55 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 54 · Surgery only | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $281.84 |
Where Arizona sits
The same service costs 4.5 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 $4,914MT $1,099
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.