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 $2,511.89 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,511.89 | $2,754.23 | $2,754.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $9,120.11 | Facility | None | $1,445.44 | $3,467.37 | $9,120.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | None | $229.09 | $229.09 | $457.09 |
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 $2,290.87 Median $2,344.23 Typical High $4,365.16 | Professional | None | $2,290.87 | $2,344.23 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,096.48 Typical High $4,466.84 | Facility | None | $102.33 | $1,096.48 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $17,378.01 | Professional | None | $1,584.89 | $2,398.83 | $17,378.01 |
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 $1,548.82 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,819.70 | $3,311.31 |
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 $1,288.25 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $524.81 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,949.84 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $263.03 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 47th of 51
$2,089
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.