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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $295.12 | Professional | None | $147.91 | $245.47 | $295.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $354.81 | Professional | None | $89.13 | $204.17 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $2,187.76 | Facility | None | $204.17 | $302.00 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $354.81 | Professional | None | $128.82 | $239.88 | $354.81 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $389.05 Typical High $5,248.07 | Facility | None | $165.96 | $389.05 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $1,862.09 Typical High $2,041.74 | Professional | None | $245.47 | $1,862.09 | $2,041.74 |
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 $125.89 Median $229.09 Typical High $371.54 | Professional | None | $125.89 | $229.09 | $371.54 |
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 $74.13 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $74.13 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $43.65 Typical High $58.88 | Professional | 53 · Discontinued | $29.51 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $165.96 Typical High $223.87 | Professional | 54 · Surgery only | $112.20 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $22.39 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $21.88 Typical High $29.51 | Professional | 56 · Pre-op care only | $14.79 | $21.88 | $29.51 |
Where Arizona sits
The same service costs 3.2 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· 28th of 51
$282
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.