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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | None | $102.33 | $102.33 | $162.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $120.23 | Professional | None | $58.88 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $457.09 | Facility | None | $54.95 | $66.07 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $138.04 | Professional | None | $72.44 | $109.65 | $138.04 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $309.03 Typical High $1,905.46 | Facility | None | $112.20 | $309.03 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $501.19 Typical High $758.58 | Professional | None | $93.33 | $501.19 | $758.58 |
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 $61.66 Median $93.33 Typical High $131.83 | Professional | None | $61.66 | $93.33 | $131.83 |
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 $51.29 Median $51.29 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $51.29 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $20.42 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $75.86 Typical High $120.23 | Professional | 54 · Surgery only | $75.86 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $23.99 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $16.22 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 7th of 51
$151
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.