How much rates vary
Facilitymedian $1,479 · 10th to 90th $468 to $5,370Professionalmedian $257 · 10th to 90th $195 to $1,905
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 $269.15 Median $269.15 Typical High $309.03 | Professional | None | $269.15 | $269.15 | $309.03 |
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 $194.98 Median $194.98 Typical High $239.88 | Professional | None | $194.98 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $2,238.72 | Facility | None | $512.86 | $1,258.93 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $331.13 | Professional | None | $213.80 | $251.19 | $331.13 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,862.09 Typical High $5,754.40 | Facility | None | $436.52 | $1,862.09 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $1,905.46 | Professional | None | $213.80 | $371.54 | $1,905.46 |
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 $208.93 Median $245.47 Typical High $371.54 | Professional | None | $208.93 | $245.47 | $371.54 |
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 $131.83 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | 54 · Surgery only | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $28.84 |
Where Arizona sits
The same service costs 6.4 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 $4,783MT $743
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.