How much rates vary
Facilitymedian $3,631 · 10th to 90th $851 to $8,318Professionalmedian $724 · 10th to 90th $575 to $5,012
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 $1,096.48 Median $4,677.35 Typical High $9,332.54 | Facility | None | $1,096.48 | $4,677.35 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $1,047.13 | Professional | None (both parts) | $575.44 | $575.44 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 26 · Professional part | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $371.54 | $371.54 | $741.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,949.84 | $4,570.88 | $12,022.64 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,318.26 | Professional | None (both parts) | $660.69 | $660.69 | $1,318.26 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 26 · Professional part | $223.87 | $223.87 | $446.68 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $436.52 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $6,025.60 Typical High $6,025.60 | Facility | None | $1,584.89 | $6,025.60 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $676.08 Typical High $1,202.26 | Professional | None (both parts) | $616.60 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $223.87 | $229.09 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $436.52 Typical High $851.14 | Professional | TC · Technical part | $389.05 | $436.52 | $851.14 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $2,238.72 Typical High $6,025.60 | Facility | None | $575.44 | $2,238.72 | $6,025.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $645.65 Median $954.99 Typical High $5,011.87 | Professional | None (both parts) | $645.65 | $954.99 | $5,011.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $309.03 Typical High $1,621.81 | Professional | 26 · Professional part | $213.80 | $309.03 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $645.65 Typical High $2,884.03 | Professional | TC · Technical part | $416.87 | $645.65 | $2,884.03 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $741.31 Typical High $1,174.90 | Professional | None (both parts) | $616.60 | $741.31 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $239.88 Typical High $389.05 | Professional | 26 · Professional part | $208.93 | $239.88 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $398.11 | $501.19 | $794.33 |
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 $288.40 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $67.61 |
Where Arizona sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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.
Arizona· 7th of 51
$1,660
WI $2,630TX $603
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.