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 $275.42 Median $537.03 Typical High $707.95 | Professional | None | $275.42 | $537.03 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | None | $524.81 | $524.81 | $645.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $602.56 | Professional | None | $218.78 | $389.05 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $1,659.59 | Facility | None | $363.08 | $489.78 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $676.08 | Professional | None | $288.40 | $537.03 | $676.08 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $2,089.30 | Facility | None | $199.53 | $398.11 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $2,398.83 Typical High $4,786.30 | Professional | None | $537.03 | $2,398.83 | $4,786.30 |
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 $288.40 Median $501.19 Typical High $676.08 | Professional | None | $288.40 | $501.19 | $676.08 |
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 $204.17 Median $371.54 Typical High $416.87 | Professional | 54 · Surgery only | $204.17 | $371.54 | $416.87 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $302.00 Median $562.34 Typical High $575.44 | Professional | 79 · Unrelated procedure after surgery | $302.00 | $562.34 | $575.44 |
Where Arizona sits
The same service costs 3.1 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· 38th of 51
$550
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.