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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $263.03 | Professional | None | $147.91 | $251.19 | $263.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $128.82 Median $302.00 Typical High $794.33 | Facility | None | $128.82 | $302.00 | $794.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $181.97 Median $380.19 Typical High $489.78 | Professional | None | $181.97 | $380.19 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $316.23 | Facility | None | $66.07 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $331.13 | Professional | None | $147.91 | $229.09 | $331.13 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $1,584.89 | Facility | None | $162.18 | $331.13 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,288.25 Typical High $2,089.30 | Professional | None | $213.80 | $1,288.25 | $2,089.30 |
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 $134.90 Median $204.17 Typical High $309.03 | Professional | None | $134.90 | $204.17 | $309.03 |
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 $74.13 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $74.13 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $29.51 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $169.82 Typical High $194.98 | Professional | 54 · Surgery only | $109.65 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $33.88 Typical High $38.90 | Professional | 55 · Aftercare only | $21.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.39 Typical High $26.30 | Professional | 56 · Pre-op care only | $14.79 | $22.39 | $26.30 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 35th of 51
$251
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.