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 $33.11 Median $46.77 Typical High $64.57 | Professional | None | $33.11 | $46.77 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.11 Median $79.43 Typical High $208.93 | Facility | None | $33.11 | $79.43 | $208.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $70.79 | Professional | None | $36.31 | $52.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $39.81 Typical High $1,659.59 | Facility | None | $28.18 | $39.81 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $70.79 | Professional | None | $32.36 | $45.71 | $70.79 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $316.23 Typical High $2,344.23 | Facility | None | $46.77 | $316.23 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $295.12 Typical High $616.60 | Professional | None | $45.71 | $295.12 | $616.60 |
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 $32.36 Median $45.71 Typical High $67.61 | Professional | None | $32.36 | $45.71 | $67.61 |
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 $16.60 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $33.11 Typical High $35.48 | Professional | 54 · Surgery only | $24.55 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $6.61 Typical High $7.08 | Professional | 55 · Aftercare only | $4.90 | $6.61 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.37 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.31 | $4.37 | $4.68 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in New York. 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· 46th of 51
$50.12
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.