How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,622 to $36,308Professionalmedian $1,175 · 10th to 90th $977 to $6,607
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 $2,344.23 Median $7,585.78 Typical High $10,232.93 | Facility | None | $2,344.23 | $7,585.78 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $9,549.93 Median $22,908.68 Typical High $60,255.96 | Facility | None | $9,549.93 | $22,908.68 | $60,255.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,862.09 | Professional | None | $933.25 | $933.25 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $10,000.00 Typical High $20,417.38 | Facility | None | $1,584.89 | $10,000.00 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,148.15 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $10,715.19 Typical High $25,703.96 | Facility | None | $1,318.26 | $10,715.19 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $6,606.93 | Professional | None | $1,071.52 | $1,479.11 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $11,481.54 Typical High $25,118.86 | Facility | None | $1,513.56 | $11,481.54 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,258.93 | $1,905.46 |
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 $489.78 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | 54 · Surgery only | $741.31 | $741.31 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $112.20 |
Where Arizona sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.