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 $794.33 Median $1,230.27 Typical High $1,230.27 | Professional | None | $794.33 | $1,230.27 | $1,230.27 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $891.25 Median $2,089.30 Typical High $5,495.41 | Facility | None | $891.25 | $2,089.30 | $5,495.41 |
BCBS Arizona Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | None | $812.83 | $812.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $4,265.80 Typical High $8,317.64 | Facility | None | $1,548.82 | $4,265.80 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $3,235.94 Typical High $8,128.31 | Facility | None | $870.96 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $5,754.40 | Professional | None | $676.08 | $912.01 | $5,754.40 |
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 Typical Low $645.65 Median $758.58 Typical High $1,071.52 | Professional | None | $645.65 | $758.58 | $1,071.52 |
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 $407.38 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $407.38 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $162.18 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $602.56 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $120.23 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $81.28 | $123.03 | $123.03 |
Where Arizona sits
The same service costs 5.1 times more in Texas than in Delaware. 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· 16th of 51
$1,479
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.