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 $24.55 Median $52.48 Typical High $52.48 | Professional | None | $24.55 | $52.48 | $52.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,288.25 | Facility | None | $204.17 | $489.78 | $1,288.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $20.42 Median $41.69 Typical High $64.57 | Professional | None | $20.42 | $41.69 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,691.53 Typical High $2,691.53 | Facility | None | $616.60 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $50.12 Typical High $67.61 | Professional | None | $26.30 | $50.12 | $67.61 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $309.03 Typical High $1,659.59 | Facility | None | $54.95 | $309.03 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $1,230.27 Typical High $1,445.44 | Professional | None | $52.48 | $1,230.27 | $1,445.44 |
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 $26.30 Median $48.98 Typical High $67.61 | Professional | None | $26.30 | $48.98 | $67.61 |
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 $12.30 Median $21.38 Typical High $26.30 | Professional | 52 · Reduced service | $12.30 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $8.51 Typical High $10.47 | Professional | 53 · Discontinued | $4.90 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $32.36 Typical High $39.81 | Professional | 54 · Surgery only | $18.20 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $6.46 Typical High $7.94 | Professional | 55 · Aftercare only | $3.63 | $6.46 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $4.27 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.45 | $4.27 | $5.25 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 22nd of 51
$60.26
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.