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 $144.54 Median $213.80 Typical High $234.42 | Professional | None | $144.54 | $213.80 | $234.42 |
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 $338.84 Typical High $446.68 | Professional | None | $181.97 | $338.84 | $446.68 |
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 $141.25 Median $208.93 Typical High $309.03 | Professional | None | $141.25 | $208.93 | $309.03 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $1,584.89 | Facility | None | $158.49 | $331.13 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $1,174.90 Typical High $1,862.09 | Professional | None | $208.93 | $1,174.90 | $1,862.09 |
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 $138.04 Median $194.98 Typical High $295.12 | Professional | None | $138.04 | $194.98 | $295.12 |
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 $72.44 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $151.36 Typical High $177.83 | Professional | 54 · Surgery only | $109.65 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $29.51 Typical High $35.48 | Professional | 55 · Aftercare only | $21.88 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $14.45 | $19.50 | $23.44 |
Where Arizona sits
The same service costs 3.9 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· 34th of 51
$234
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.