How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,175 to $9,333Professionalmedian $513 · 10th to 90th $316 to $8,128
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 $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | 26 · Professional part | $295.12 | $295.12 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
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 $323.59 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $323.59 | $323.59 | $645.65 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $575.44 | Professional | 26 · Professional part | $295.12 | $295.12 | $575.44 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $32.36 | $64.57 |
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 None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $2,290.87 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | 26 · Professional part | $338.84 | $338.84 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $977.24 | $977.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $3,090.30 Typical High $7,943.28 | Facility | None | $870.96 | $3,090.30 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $8,128.31 | Professional | None (both parts) | $316.23 | $436.52 | $8,128.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $2,041.74 | Professional | 26 · Professional part | $316.23 | $416.87 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | TC · Technical part | $6,165.95 | $6,165.95 | $6,165.95 |
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 $316.23 Median $354.81 Typical High $1,412.54 | Professional | None (both parts) | $316.23 | $354.81 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $346.74 Typical High $562.34 | Professional | 26 · Professional part | $302.00 | $346.74 | $562.34 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Where Arizona sits
The same service costs 14.5 times more in California than in Maine. 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· 19th of 51
$2,291
CA $8,128ME $562
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.