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 $26.30 Median $58.88 Typical High $75.86 | Professional | None | $26.30 | $58.88 | $75.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $29.51 Median $69.18 Typical High $181.97 | Facility | None | $29.51 | $69.18 | $181.97 |
BCBS Arizona Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $69.18 | Professional | None | $20.89 | $44.67 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $2,691.53 | Facility | None | $524.81 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $83.18 | Professional | None | $27.54 | $60.26 | $83.18 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $302.00 Typical High $1,905.46 | Facility | None | $60.26 | $302.00 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $251.19 Typical High $524.81 | Professional | None | $64.57 | $251.19 | $524.81 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $83.18 | Professional | None | $28.84 | $58.88 | $83.18 |
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 $13.18 Median $23.44 Typical High $30.20 | Professional | 52 · Reduced service | $13.18 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $9.33 Typical High $12.02 | Professional | 53 · Discontinued | $5.25 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $35.48 Typical High $45.71 | Professional | 54 · Surgery only | $19.95 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $7.08 Typical High $9.12 | Professional | 55 · Aftercare only | $3.98 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.68 Typical High $6.03 | Professional | 56 · Pre-op care only | $2.63 | $4.68 | $6.03 |
Where Arizona sits
The same service costs 3.3 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· 31st of 51
$67.61
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.