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 $67.61 Median $97.72 Typical High $125.89 | Professional | None | $67.61 | $97.72 | $125.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $45.71 Median $93.33 Typical High $162.18 | Professional | None | $45.71 | $93.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $1,659.59 | Facility | None | $83.18 | $117.49 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $151.36 | Professional | None | $56.23 | $97.72 | $151.36 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $1,905.46 | Facility | None | $95.50 | $316.23 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $446.68 Typical High $851.14 | Professional | None | $100.00 | $446.68 | $851.14 |
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 $54.95 Median $97.72 Typical High $158.49 | Professional | None | $54.95 | $97.72 | $158.49 |
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 $33.88 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $33.88 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $13.49 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $74.13 Typical High $89.13 | Professional | 54 · Surgery only | $50.12 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.79 Typical High $18.20 | Professional | 55 · Aftercare only | $10.00 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.77 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.76 | $9.77 | $12.02 |
Where Arizona sits
The same service costs 3.9 times more in Wisconsin 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· 21st of 51
$120
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.