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 $173.78 Median $234.42 Typical High $302.00 | Professional | None | $173.78 | $234.42 | $302.00 |
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 $213.80 Median $436.52 Typical High $562.34 | Professional | None | $213.80 | $436.52 | $562.34 |
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 $169.82 Median $245.47 Typical High $371.54 | Professional | None | $169.82 | $245.47 | $371.54 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $1,584.89 | Facility | None | $181.97 | $338.84 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $1,380.38 Typical High $2,398.83 | Professional | None | $234.42 | $1,380.38 | $2,398.83 |
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 $158.49 Median $229.09 Typical High $354.81 | Professional | None | $158.49 | $229.09 | $354.81 |
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 $87.10 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $87.10 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $177.83 Typical High $223.87 | Professional | 54 · Surgery only | $128.82 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $25.70 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $30.20 |
Where Arizona sits
The same service costs 3.8 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· 30th of 51
$288
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.