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 $58.88 Median $125.89 Typical High $138.04 | Professional | None | $58.88 | $125.89 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
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 $51.29 Median $134.90 Typical High $239.88 | Professional | None | $51.29 | $134.90 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,659.59 | Facility | None | $512.86 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $190.55 | Professional | None | $70.79 | $125.89 | $190.55 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $851.14 Typical High $3,981.07 | Facility | None | $138.04 | $851.14 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $676.08 Typical High $1,096.48 | Professional | None | $134.90 | $676.08 | $1,096.48 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $208.93 | Professional | None | $63.10 | $125.89 | $208.93 |
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 $29.51 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $29.51 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $11.75 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $83.18 Typical High $93.33 | Professional | 54 · Surgery only | $43.65 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $16.60 Typical High $19.05 | Professional | 55 · Aftercare only | $8.71 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $10.96 Typical High $12.59 | Professional | 56 · Pre-op care only | $5.89 | $10.96 | $12.59 |
Where Arizona sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 21st of 51
$166
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.