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 $64.57 Median $79.43 Typical High $93.33 | Professional | None | $64.57 | $79.43 | $93.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $354.81 | Facility | None | $57.54 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $177.83 | Professional | None | $81.28 | $134.90 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $162.18 | Facility | None | $66.07 | $87.10 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $125.89 | Professional | None | $57.54 | $83.18 | $125.89 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $316.23 Typical High $1,584.89 | Facility | None | $91.20 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $512.86 Typical High $758.58 | Professional | None | $77.62 | $512.86 | $758.58 |
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 $56.23 Median $75.86 Typical High $117.49 | Professional | None | $56.23 | $75.86 | $117.49 |
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 $38.02 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $18.62 | Professional | 53 · Discontinued | $12.88 | $15.14 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $61.66 Typical High $70.79 | Professional | 54 · Surgery only | $47.86 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.22 Typical High $14.13 | Professional | 55 · Aftercare only | $9.55 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.59 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.46 | $7.59 | $9.33 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 37th of 51
$93.33
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.