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 $5,623.41 Typical High $8,912.51 | Facility | None | $977.24 | $5,623.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
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 $380.19 Median $380.19 Typical High $758.58 | Professional | None | $380.19 | $380.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $22,387.21 Typical High $42,657.95 | Facility | None | $1,548.82 | $22,387.21 | $42,657.95 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $11,748.98 Typical High $30,199.52 | Facility | None | $1,348.96 | $11,748.98 | $30,199.52 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $3,715.35 | Professional | None | $776.25 | $977.24 | $3,715.35 |
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 $741.31 Median $851.14 Typical High $1,174.90 | Professional | None | $741.31 | $851.14 | $1,174.90 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Arizona sits
The same service costs 50.1 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· 17th 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.