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 $512.86 Median $724.44 Typical High $724.44 | Professional | None | $512.86 | $724.44 | $724.44 |
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 $398.11 Median $398.11 Typical High $794.33 | Professional | None | $398.11 | $398.11 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $8,317.64 Typical High $16,218.10 | Facility | None | $1,548.82 | $8,317.64 | $16,218.10 |
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 $489.78 Median $616.60 Typical High $3,801.89 | Professional | None | $489.78 | $616.60 | $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 $467.74 Median $524.81 Typical High $912.01 | Professional | None | $467.74 | $524.81 | $912.01 |
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 $257.04 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $257.04 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $102.33 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $389.05 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $77.62 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $51.29 | $72.44 | $72.44 |
Where Arizona sits
The same service costs 24.0 times more in Arkansas than in New York. 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· 21st of 51
$2,042
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.