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 $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | None | $426.58 | $537.03 | $537.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $912.01 | Professional | None | $467.74 | $467.74 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $5,248.07 | Facility | None | $1,023.29 | $1,348.96 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $4,466.84 | Facility | None | $467.74 | $954.99 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $2,570.40 | Professional | None | $426.58 | $537.03 | $2,570.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $691.83 | Professional | None | $407.38 | $457.09 | $691.83 |
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 $204.17 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $204.17 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $81.28 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $309.03 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $40.74 | $53.70 | $53.70 |
Where Arizona sits
The same service costs 8.1 times more in Texas 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· 23rd of 51
$851
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.