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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,380.38 | $2,238.72 | $2,238.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $3,235.94 Median $7,585.78 Typical High $19,952.62 | Facility | None | $3,235.94 | $7,585.78 | $19,952.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,890.45 | Professional | None | $1,949.84 | $1,949.84 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,691.53 Typical High $9,120.11 | Facility | None | $630.96 | $2,691.53 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $1,096.48 Typical High $4,466.84 | Facility | None | $104.71 | $1,096.48 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $10,471.29 | Professional | None | $1,318.26 | $1,737.80 | $10,471.29 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,479.11 | $2,570.40 |
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 $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $707.95 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $281.84 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,047.13 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $213.80 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $141.25 | $223.87 | $223.87 |
Where Arizona sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 12th of 51
$2,089
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.