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 $5,248.07 Typical High $10,232.93 | Facility | None | $977.24 | $5,248.07 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,398.83 | $2,398.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $10,471.29 | Facility | None | $1,698.24 | $3,981.07 | $10,471.29 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,137.96 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
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 $1,905.46 Median $2,398.83 Typical High $12,302.69 | Professional | None | $1,905.46 | $2,398.83 | $12,302.69 |
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 $1,819.70 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,819.70 | $2,041.74 | $3,090.30 |
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 $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $371.54 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,380.38 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $186.21 | $239.88 | $239.88 |
Where Arizona sits
The same service costs 5.8 times more in California 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· 32nd of 51
$2,239
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.