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 $107.15 Median $107.15 Typical High $117.49 | Professional | None | $107.15 | $107.15 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $5,128.61 | Facility | None | $831.76 | $1,949.84 | $5,128.61 |
BCBS Arizona Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | None | $117.49 | $117.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $7,079.46 Typical High $7,079.46 | Facility | None | $524.81 | $7,079.46 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $181.97 | Professional | None | $97.72 | $109.65 | $181.97 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,905.46 | Facility | None | $125.89 | $354.81 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $1,621.81 | Professional | None | $104.71 | $141.25 | $1,621.81 |
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 $104.71 Median $114.82 Typical High $181.97 | Professional | None | $104.71 | $114.82 | $181.97 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 54 · Surgery only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Delaware. 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· 49th of 51
$120
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.