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 $851.14 Median $3,715.35 Typical High $5,623.41 | Facility | None | $851.14 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $91.20 | Professional | None | $40.74 | $58.88 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $83.18 | Professional | None | $53.70 | $63.10 | $83.18 |
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 $47.86 Median $83.18 Typical High $109.65 | Professional | None | $47.86 | $83.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $1,659.59 | Facility | None | $38.90 | $54.95 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $89.13 | Professional | None | $42.66 | $60.26 | $89.13 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $323.59 Typical High $2,041.74 | Facility | None | $58.88 | $323.59 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $338.84 Typical High $478.63 | Professional | None | $58.88 | $338.84 | $478.63 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,454.71 | Facility | None | $177.83 | $524.81 | $2,454.71 |
United Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | None | $41.69 | $56.23 | $87.10 |
6 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 $20.42 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $20.42 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $8.13 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | 54 · Surgery only | $30.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $6.17 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.07 | $5.89 | $5.89 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $95.50 Typical High $104.71 | Professional | 50 · Both sides | $77.62 | $95.50 | $104.71 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 38th of 51
$64.57
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.