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 $354.81 Median $562.34 Typical High $562.34 | Professional | None | $354.81 | $562.34 | $562.34 |
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 $426.58 Median $426.58 Typical High $851.14 | Professional | None | $426.58 | $426.58 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $8,128.31 Typical High $15,488.17 | Facility | None | $1,548.82 | $8,128.31 | $15,488.17 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $6,918.31 Typical High $13,803.84 | Facility | None | $851.14 | $6,918.31 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $2,691.53 | Professional | None | $309.03 | $398.11 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $12,302.69 | Facility | None | $1,174.90 | $7,943.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $616.60 | Professional | None | $309.03 | $346.74 | $616.60 |
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 $173.78 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $173.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $70.79 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $263.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $52.48 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $35.48 | $56.23 | $56.23 |
Where Arizona sits
The same service costs 15.8 times more in Arkansas 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· 14th of 51
$2,455
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.