How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,096 to $9,333Professionalmedian $331 · 10th to 90th $288 to $1,862
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 (both parts) Typical Low $263.03 Median $2,344.23 Typical High $5,623.41 | Professional | None (both parts) | $263.03 | $2,344.23 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 26 · Professional part | $269.15 | $269.15 | $323.59 |
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 $295.12 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $295.12 | $295.12 | $588.84 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $524.81 | Professional | 26 · Professional part | $269.15 | $269.15 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $6,606.93 Typical High $12,882.50 | Facility | None | $1,584.89 | $6,606.93 | $12,882.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | 26 · Professional part | $302.00 | $316.23 | $489.78 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $3,019.95 Typical High $7,244.36 | Facility | None | $616.60 | $3,019.95 | $7,244.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $1,862.09 | Professional | None (both parts) | $288.40 | $380.19 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $1,862.09 | Professional | 26 · Professional part | $288.40 | $380.19 | $1,862.09 |
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 (both parts) Typical Low $281.84 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $281.84 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $316.23 | $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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $29.51 | $58.88 |
Where Arizona sits
The same service costs 23.4 times more in Colorado 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.
Arizona· 15th of 51
$2,138
CO $6,761KY $288
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.