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 $47.86 Median $81.28 Typical High $102.33 | Professional | None | $47.86 | $81.28 | $102.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.88 Median $81.28 Typical High $213.80 | Facility | None | $33.88 | $81.28 | $213.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $93.33 | Professional | None | $40.74 | $61.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $501.19 | Facility | None | $56.23 | $66.07 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $112.20 | Professional | None | $50.12 | $81.28 | $112.20 |
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 $85.11 Median $407.38 Typical High $707.95 | Professional | None | $85.11 | $407.38 | $707.95 |
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 $52.48 Median $83.18 Typical High $114.82 | Professional | None | $52.48 | $83.18 | $114.82 |
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 $23.99 Median $37.15 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.14 Typical High $16.22 | Professional | 53 · Discontinued | $9.55 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $56.23 Typical High $61.66 | Professional | 54 · Surgery only | $35.48 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $11.22 Typical High $12.30 | Professional | 55 · Aftercare only | $7.08 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.79 | $7.94 | $8.13 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in New York. 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· 41st of 51
$89.13
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.