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 $645.65 Median $1,023.29 Typical High $1,023.29 | Professional | None | $645.65 | $1,023.29 | $1,023.29 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $707.95 | Professional | None | $363.08 | $363.08 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,548.82 | $5,495.41 | $10,715.19 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $7,244.36 | Facility | None | $741.31 | $2,511.89 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $5,370.32 | Professional | None | $331.13 | $436.52 | $5,370.32 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $776.25 | Professional | None | $331.13 | $371.54 | $776.25 |
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 $323.59 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $323.59 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $128.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $489.78 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $97.72 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $64.57 | $102.33 | $102.33 |
Where Arizona sits
The same service costs 14.8 times more in Texas 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· 19th 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.