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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None | $147.91 | $147.91 | $190.55 |
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 $120.23 Median $144.54 Typical High $181.97 | Professional | None | $120.23 | $144.54 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $2,187.76 | Facility | None | $109.65 | $154.88 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $331.13 | Professional | None | $151.36 | $181.97 | $331.13 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $407.38 Typical High $2,041.74 | Facility | None | $169.82 | $407.38 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $2,454.71 | Professional | None | $158.49 | $288.40 | $2,454.71 |
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 $154.88 Median $181.97 Typical High $346.74 | Professional | None | $154.88 | $181.97 | $346.74 |
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 $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 54 · Surgery only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $15.14 |
Where Arizona sits
The same service costs 4.1 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· 33rd of 51
$234
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.