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 $165.96 Median $204.17 Typical High $281.84 | Professional | None | $165.96 | $204.17 | $281.84 |
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 $204.17 Median $407.38 Typical High $524.81 | Professional | None | $204.17 | $407.38 | $524.81 |
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 $151.36 Median $234.42 Typical High $346.74 | Professional | None | $151.36 | $234.42 | $346.74 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $1,584.89 | Facility | None | $177.83 | $338.84 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,621.81 Typical High $2,238.72 | Professional | None | $223.87 | $1,621.81 | $2,238.72 |
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 $147.91 Median $208.93 Typical High $338.84 | Professional | None | $147.91 | $208.93 | $338.84 |
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 $83.18 Median $97.72 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $123.03 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $41.69 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.50 Typical High $28.18 | Professional | 56 · Pre-op care only | $16.60 | $19.50 | $28.18 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$269
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.