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 $3,388.44 Median $3,630.78 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,630.78 | $3,715.35 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $6,309.57 | Professional | None | $3,235.94 | $3,235.94 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $5,495.41 | Professional | None | $3,467.37 | $3,548.13 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,096.48 Typical High $4,897.79 | Facility | None | $102.33 | $1,096.48 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $23,988.33 | Professional | None | $3,235.94 | $4,365.16 | $23,988.33 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $6,025.60 | Professional | None | $3,162.28 | $3,548.13 | $6,025.60 |
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 $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 53 · Discontinued | $724.44 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,754.23 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $562.34 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 56 · Pre-op care only | $363.08 | $363.08 | $371.54 |
Where Arizona sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 41st of 51
$3,548
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.