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 $21.38 Median $28.18 Typical High $32.36 | Professional | None | $21.38 | $28.18 | $32.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $1,737.80 | Facility | None | $275.42 | $660.69 | $1,737.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $33.88 | Professional | None | $18.62 | $22.91 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,398.83 Typical High $2,691.53 | Facility | None | $501.19 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $41.69 | Professional | None | $22.39 | $29.51 | $41.69 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $302.00 Typical High $1,905.46 | Facility | None | $30.90 | $302.00 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $2,187.76 Typical High $2,570.40 | Professional | None | $30.90 | $2,187.76 | $2,570.40 |
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 $23.44 Median $30.20 Typical High $43.65 | Professional | None | $23.44 | $30.20 | $43.65 |
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 $10.72 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $10.72 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $4.27 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $21.38 Typical High $21.38 | Professional | 54 · Surgery only | $16.22 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $3.24 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.14 | $2.82 | $2.82 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$34.67
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.