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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | None | $218.78 | $245.47 | $245.47 |
BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,202.26 | Professional | None | $977.24 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $2,691.53 | Facility | None | $524.81 | $2,398.83 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $1,905.46 | Facility | None | $177.83 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $1,318.26 | Professional | None | $218.78 | $288.40 | $1,318.26 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $331.13 | Professional | None | $213.80 | $245.47 | $331.13 |
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 $107.15 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $42.66 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $173.78 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $32.36 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.38 | $24.55 | $24.55 |
Where Arizona sits
The same service costs 18.6 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· 3rd of 51
$603
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.