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 $831.76 Median $831.76 Typical High $870.96 | Professional | None | $831.76 | $831.76 | $870.96 |
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 $691.83 Median $691.83 Typical High $1,348.96 | Professional | None | $691.83 | $691.83 | $1,348.96 |
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 $794.33 Median $812.83 Typical High $1,288.25 | Professional | None | $794.33 | $812.83 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $912.01 Typical High $4,466.84 | Facility | None | $102.33 | $912.01 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $5,495.41 | Professional | None | $741.31 | $1,000.00 | $5,495.41 |
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 $724.44 Median $812.83 Typical High $1,412.54 | Professional | None | $724.44 | $812.83 | $1,412.54 |
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 $416.87 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | 54 · Surgery only | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $85.11 |
Where Arizona sits
The same service costs 4.6 times more in Alaska 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· 31st of 51
$1,047
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.