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 $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,548.82 | $2,398.83 | $2,398.83 |
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 $323.59 Median $1,122.02 Typical High $2,454.71 | Professional | None | $323.59 | $1,122.02 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,548.82 | $3,311.31 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $2,041.74 Typical High $5,888.44 | Facility | None | $776.25 | $2,041.74 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $8,709.64 | Professional | None | $1,548.82 | $1,995.26 | $8,709.64 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,513.56 | $1,698.24 | $3,090.30 |
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 $776.25 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $776.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $316.23 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $234.42 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $154.88 | $239.88 | $239.88 |
Where Arizona sits
The same service costs 147.9 times more in Alaska 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· 25th 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.