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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $234.42 | Professional | None | $123.03 | $223.87 | $234.42 |
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 $104.71 Median $245.47 Typical High $426.58 | Professional | None | $104.71 | $245.47 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $354.81 | Professional | None | $144.54 | $223.87 | $354.81 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $2,089.30 Typical High $7,244.36 | Facility | None | $169.82 | $2,089.30 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $1,174.90 Typical High $2,041.74 | Professional | None | $218.78 | $1,174.90 | $2,041.74 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $380.19 | Professional | None | $128.82 | $208.93 | $380.19 |
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 $61.66 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $61.66 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $24.55 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $144.54 Typical High $173.78 | Professional | 54 · Surgery only | $93.33 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.84 Typical High $34.67 | Professional | 55 · Aftercare only | $18.62 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $23.44 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $23.44 |
Where Arizona sits
The same service costs 5.8 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· 24th of 51
$302
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.