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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $1,071.52 Typical High $1,479.11 | Professional | None | $229.09 | $1,071.52 | $1,479.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $42.66 Median $181.97 Typical High $275.42 | Facility | None | $42.66 | $181.97 | $275.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $229.09 Median $1,174.90 Typical High $2,137.96 | Professional | None | $229.09 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $912.01 Typical High $1,949.84 | Professional | None | $245.47 | $912.01 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,445.44 Typical High $2,344.23 | Facility | None | $295.12 | $1,445.44 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $4,897.79 Typical High $9,332.54 | Professional | None | $1,230.27 | $4,897.79 | $9,332.54 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $223.87 Median $1,023.29 Typical High $1,862.09 | Professional | None | $223.87 | $1,023.29 | $1,862.09 |
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 $134.90 Median $354.81 Typical High $707.95 | Professional | 52 · Reduced service | $134.90 | $354.81 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $141.25 Typical High $281.84 | Professional | 53 · Discontinued | $53.70 | $141.25 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $537.03 Typical High $1,047.13 | Professional | 54 · Surgery only | $204.17 | $537.03 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $107.15 Typical High $213.80 | Professional | 55 · Aftercare only | $40.74 | $107.15 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $70.79 Typical High $141.25 | Professional | 56 · Pre-op care only | $26.92 | $70.79 | $141.25 |
Where Arizona sits
The same service costs 6.5 times more in Washington than in Maryland. 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· 13th of 51
$1,349
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.