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 $79.43 Median $123.03 Typical High $169.82 | Professional | None | $79.43 | $123.03 | $169.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $234.42 Median $562.34 Typical High $1,479.11 | Facility | None | $234.42 | $562.34 | $1,479.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $141.25 | Professional | None | $67.61 | $95.50 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $1,659.59 | Facility | None | $79.43 | $112.20 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $162.18 | Professional | None | $83.18 | $120.23 | $162.18 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $549.54 Typical High $1,862.09 | Facility | None | $114.82 | $549.54 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $676.08 Typical High $1,071.52 | Professional | None | $125.89 | $676.08 | $1,071.52 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $165.96 | Professional | None | $83.18 | $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 $39.81 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $39.81 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $15.85 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $91.20 Typical High $93.33 | Professional | 54 · Surgery only | $60.26 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $18.20 Typical High $18.62 | Professional | 55 · Aftercare only | $12.02 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.02 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.94 | $12.02 | $12.59 |
Where Arizona sits
The same service costs 3.2 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· 34th of 51
$141
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.