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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $794.33 | Professional | None | $501.19 | $794.33 | $794.33 |
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 $549.54 Median $549.54 Typical High $1,096.48 | Professional | None | $549.54 | $549.54 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $20,417.38 Typical High $38,904.51 | Facility | None | $1,548.82 | $20,417.38 | $38,904.51 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $11,748.98 Typical High $30,199.52 | Facility | None | $1,445.44 | $11,748.98 | $30,199.52 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $3,801.89 | Professional | None | $478.63 | $602.56 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $12,882.50 Typical High $27,542.29 | Facility | None | $1,905.46 | $12,882.50 | $27,542.29 |
United Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $891.25 | Professional | None | $478.63 | $524.81 | $891.25 |
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 $251.19 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $251.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $100.00 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $380.19 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $75.86 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $50.12 | $79.43 | $79.43 |
Where Arizona sits
The same service costs 29.5 times more in Louisiana than in Maine. 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
$2,692
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.