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 $58.88 Median $144.54 Typical High $190.55 | Professional | None | $58.88 | $144.54 | $190.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $537.03 | Facility | None | $85.11 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $67.61 Median $199.53 Typical High $309.03 | Professional | None | $67.61 | $199.53 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $162.18 Typical High $281.84 | Professional | None | $63.10 | $162.18 | $281.84 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $912.01 Typical High $2,344.23 | Facility | None | $66.07 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $794.33 Typical High $2,691.53 | Professional | None | $162.18 | $794.33 | $2,691.53 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $61.66 Median $147.91 Typical High $251.19 | Professional | None | $61.66 | $147.91 | $251.19 |
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 $29.51 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $29.51 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $12.02 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $95.50 Typical High $125.89 | Professional | 54 · Surgery only | $44.67 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $8.91 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $12.88 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.03 | $12.88 | $16.98 |
Where Arizona sits
The same service costs 3.5 times more in North Carolina than in Indiana. 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· 23rd of 51
$174
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.