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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $81.28 Typical High $123.03 | Professional | None | $44.67 | $81.28 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | None | $89.13 | $112.20 | $112.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $43.65 Median $104.71 Typical High $275.42 | Facility | None | $43.65 | $104.71 | $275.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $112.20 | Professional | None | $35.48 | $72.44 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $616.60 | Facility | None | $56.23 | $66.07 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $77.62 Typical High $120.23 | Professional | None | $42.66 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $316.23 Typical High $2,187.76 | Facility | None | $63.10 | $316.23 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $457.09 Typical High $912.01 | Professional | None | $83.18 | $457.09 | $912.01 |
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 $43.65 Median $74.13 Typical High $125.89 | Professional | None | $43.65 | $74.13 | $125.89 |
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 $22.39 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $22.39 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $8.91 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $58.88 Typical High $77.62 | Professional | 54 · Surgery only | $33.11 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $11.75 Typical High $15.49 | Professional | 55 · Aftercare only | $6.61 | $11.75 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $7.94 Typical High $10.23 | Professional | 56 · Pre-op care only | $4.47 | $7.94 | $10.23 |
Where Arizona sits
The same service costs 3.5 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· 29th of 51
$102
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.