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 $2,344.23 Median $7,244.36 Typical High $10,232.93 | Facility | None | $2,344.23 | $7,244.36 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,380.38 | $2,454.71 | $2,454.71 |
BCBS Setting Facility Modifier None Typical Low $316.23 Median $741.31 Typical High $1,949.84 | Facility | None | $316.23 | $741.31 | $1,949.84 |
BCBS Setting Professional Modifier None Typical Low $398.11 Median $1,778.28 Typical High $2,511.89 | Professional | None | $398.11 | $1,778.28 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,248.07 Typical High $9,549.93 | Facility | None | $2,398.83 | $5,248.07 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $4,265.80 Typical High $9,332.54 | Facility | None | $1,023.29 | $4,265.80 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $11,481.54 | Professional | None | $1,258.93 | $1,621.81 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,772.37 | Facility | None | $1,096.48 | $6,309.57 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,412.54 | $2,511.89 |
4 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 $676.08 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $676.08 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $275.42 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $204.17 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $138.04 | $245.47 | $245.47 |
Where Arizona sits
The same service costs 9.3 times more in Oklahoma 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· 27th 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.