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 $64.57 Median $120.23 Typical High $154.88 | Professional | None | $64.57 | $120.23 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $83.18 Median $363.08 Typical High $537.03 | Facility | None | $83.18 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $53.70 Median $131.83 Typical High $186.21 | Professional | None | $53.70 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $251.19 | Professional | None | $77.62 | $151.36 | $251.19 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $912.01 Typical High $2,344.23 | Facility | None | $70.79 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $616.60 Typical High $1,737.80 | Professional | None | $158.49 | $616.60 | $1,737.80 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $234.42 | Professional | None | $70.79 | $147.91 | $234.42 |
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 $32.36 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $32.36 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $12.88 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $89.13 Typical High $104.71 | Professional | 54 · Surgery only | $48.98 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $9.77 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $11.75 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.46 | $11.75 | $14.13 |
Where Arizona sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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· 25th of 51
$158
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.