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 $162.18 Median $354.81 Typical High $457.09 | Professional | None | $162.18 | $354.81 | $457.09 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $389.05 | Professional | None | $354.81 | $363.08 | $389.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,288.25 | Facility | None | $204.17 | $489.78 | $1,288.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $389.05 | Professional | None | $128.82 | $251.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,398.83 Typical High $2,691.53 | Facility | None | $331.13 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $446.68 | Professional | None | $169.82 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $1,862.09 | Facility | None | $177.83 | $371.54 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,548.82 Typical High $3,090.30 | Professional | None | $346.74 | $1,548.82 | $3,090.30 |
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 $169.82 Median $323.59 Typical High $436.52 | Professional | None | $169.82 | $323.59 | $436.52 |
2 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 54 · Surgery only Typical Low $123.03 Median $218.78 Typical High $269.15 | Professional | 54 · Surgery only | $123.03 | $218.78 | $269.15 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 79 · Unrelated procedure after surgery | $371.54 | $371.54 | $371.54 |
Where Arizona sits
The same service costs 3.8 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· 40th of 51
$355
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.