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 $61.66 Median $114.82 Typical High $165.96 | Professional | None | $61.66 | $114.82 | $165.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $190.55 Typical High $501.19 | Facility | None | $79.43 | $190.55 | $501.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $144.54 | Professional | None | $48.98 | $91.20 | $144.54 |
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 $61.66 Median $109.65 Typical High $158.49 | Professional | None | $61.66 | $109.65 | $158.49 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $316.23 Typical High $1,584.89 | Facility | None | $89.13 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $575.44 Typical High $1,122.02 | Professional | None | $117.49 | $575.44 | $1,122.02 |
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 $63.10 Median $104.71 Typical High $158.49 | Professional | None | $63.10 | $104.71 | $158.49 |
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 $30.90 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $30.90 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $12.30 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $83.18 Typical High $97.72 | Professional | 54 · Surgery only | $46.77 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $16.60 Typical High $19.50 | Professional | 55 · Aftercare only | $9.33 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $10.96 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.17 | $10.96 | $12.88 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$135
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.