How much rates vary
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 $977.24 Median $6,309.57 Typical High $9,772.37 | Facility | None | $977.24 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $562.34 | Professional | None | $371.54 | $562.34 | $562.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $724.44 | Professional | None | $363.08 | $363.08 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $20,892.96 Typical High $40,738.03 | Facility | None | $1,548.82 | $20,892.96 | $40,738.03 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $11,748.98 Typical High $30,199.52 | Facility | None | $1,348.96 | $11,748.98 | $30,199.52 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $2,691.53 | Professional | None | $346.74 | $436.52 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $12,882.50 Typical High $27,542.29 | Facility | None | $1,905.46 | $12,882.50 | $27,542.29 |
United Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $660.69 | Professional | None | $338.84 | $389.05 | $660.69 |
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 $186.21 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $275.42 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $37.15 | $56.23 | $56.23 |
Where Arizona sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 21st of 51
$2,042
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.