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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $338.84 Median $812.83 Typical High $2,137.96 | Facility | None | $338.84 | $812.83 | $2,137.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $933.25 | Professional | None | $426.58 | $457.09 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $1,659.59 | Facility | None | $389.05 | $512.86 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $602.56 | Professional | None | $331.13 | $338.84 | $602.56 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $3,019.95 | Facility | None | $323.59 | $707.95 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $2,398.83 | Professional | None | $302.00 | $501.19 | $2,398.83 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | None | $295.12 | $436.52 | $676.08 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 35th of 51
$479
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.