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 $60.26 Median $75.86 Typical High $97.72 | Professional | None | $60.26 | $75.86 | $97.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $131.83 Median $309.03 Typical High $812.83 | Facility | None | $131.83 | $309.03 | $812.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $154.88 | Professional | None | $70.79 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $120.23 | Facility | None | $56.23 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $114.82 | Professional | None | $61.66 | $79.43 | $114.82 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $302.00 Typical High $1,862.09 | Facility | None | $85.11 | $302.00 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $478.63 Typical High $645.65 | Professional | None | $74.13 | $478.63 | $645.65 |
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 $57.54 Median $74.13 Typical High $112.20 | Professional | None | $57.54 | $74.13 | $112.20 |
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 $30.20 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $51.29 Typical High $60.26 | Professional | 54 · Surgery only | $44.67 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.23 Typical High $12.02 | Professional | 55 · Aftercare only | $8.91 | $10.23 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.03 | $6.76 | $7.94 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$83.18
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.