How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,096 to $9,333Professionalmedian $302 · 10th to 90th $257 to $1,660
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 $234.42 Median $2,344.23 Typical High $5,623.41 | Professional | None (both parts) | $234.42 | $2,344.23 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | 26 · Professional part | $239.88 | $239.88 | $275.42 |
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 $263.03 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $263.03 | $263.03 | $512.86 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $467.74 | Professional | 26 · Professional part | $234.42 | $234.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,918.31 Typical High $12,302.69 | Facility | None | $5,495.41 | $6,918.31 | $12,302.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $281.84 Typical High $446.68 | Professional | 26 · Professional part | $275.42 | $281.84 | $446.68 |
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 $257.04 Median $346.74 Typical High $1,659.59 | Professional | None (both parts) | $257.04 | $346.74 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $346.74 Typical High $1,659.59 | Professional | 26 · Professional part | $257.04 | $346.74 | $1,659.59 |
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 $251.19 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $251.19 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $251.19 | $281.84 | $457.09 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $26.30 | $51.29 |
Where Arizona sits
The same service costs 19.5 times more in Colorado than in Maryland. 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· 17th of 51
$2,188
CO $6,761MD $347
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.