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 $64.57 Median $144.54 Typical High $190.55 | Professional | None | $64.57 | $144.54 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $74.13 Median $204.17 Typical High $309.03 | Professional | None | $74.13 | $204.17 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $165.96 Typical High $288.40 | Professional | None | $69.18 | $165.96 | $288.40 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $912.01 Typical High $2,344.23 | Facility | None | $72.44 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $741.31 Typical High $2,511.89 | Professional | None | $165.96 | $741.31 | $2,511.89 |
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 $69.18 Median $151.36 Typical High $257.04 | Professional | None | $69.18 | $151.36 | $257.04 |
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 $32.36 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $32.36 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $13.18 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $97.72 Typical High $128.82 | Professional | 54 · Surgery only | $48.98 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $19.50 Typical High $25.70 | Professional | 55 · Aftercare only | $9.77 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $13.18 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.46 | $13.18 | $16.98 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 25th of 51
$178
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.