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 $87.10 Median $125.89 Typical High $125.89 | Professional | None | $87.10 | $125.89 | $125.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $69.18 Median $165.96 Typical High $436.52 | Facility | None | $69.18 | $165.96 | $436.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $151.36 | Professional | None | $72.44 | $102.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $190.55 | Facility | None | $66.07 | $102.33 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $162.18 | Professional | None | $87.10 | $120.23 | $162.18 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $1,584.89 | Facility | None | $120.23 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $741.31 Typical High $1,071.52 | Professional | None | $123.03 | $741.31 | $1,071.52 |
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 $87.10 Median $120.23 Typical High $165.96 | Professional | None | $87.10 | $120.23 | $165.96 |
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 $43.65 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $91.20 Typical High $95.50 | Professional | 54 · Surgery only | $66.07 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $13.18 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.71 | $12.30 | $12.59 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 43rd of 51
$132
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.