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 $177.83 Median $371.54 Typical High $371.54 | Professional | None | $177.83 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $478.63 Median $588.84 Typical High $741.31 | Professional | None | $478.63 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $1,659.59 | Facility | None | $407.38 | $524.81 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $446.68 | Professional | None | $204.17 | $257.04 | $446.68 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $2,570.40 | Facility | None | $346.74 | $707.95 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $2,041.74 | Professional | None | $147.91 | $316.23 | $2,041.74 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $371.54 | Professional | None | $147.91 | $245.47 | $371.54 |
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 $154.88 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $37.15 | $37.15 |
Where Arizona sits
The same service costs 8.3 times more in Oklahoma than in Rhode Island. 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· 8th of 51
$550
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.