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 $380.19 Median $1,621.81 Typical High $2,290.87 | Professional | None | $380.19 | $1,621.81 | $2,290.87 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $537.03 | Facility | None | $85.11 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $316.23 Median $1,445.44 Typical High $2,630.27 | Professional | None | $316.23 | $1,445.44 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,096.48 Typical High $3,311.31 | Professional | None | $371.54 | $1,096.48 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $6,606.93 Typical High $10,715.19 | Facility | None | $416.87 | $6,606.93 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $7,413.10 Typical High $14,454.40 | Professional | None | $2,238.72 | $7,413.10 | $14,454.40 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $8,912.51 Typical High $10,964.78 | Facility | None | $5,623.41 | $8,912.51 | $10,964.78 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,737.80 Typical High $3,162.28 | Professional | None | $363.08 | $1,737.80 | $3,162.28 |
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 $190.55 Median $537.03 Typical High $1,047.13 | Professional | 52 · Reduced service | $190.55 | $537.03 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $218.78 Typical High $416.87 | Professional | 53 · Discontinued | $75.86 | $218.78 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $812.83 Typical High $1,584.89 | Professional | 54 · Surgery only | $288.40 | $812.83 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $162.18 Typical High $316.23 | Professional | 55 · Aftercare only | $57.54 | $162.18 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $109.65 Typical High $208.93 | Professional | 56 · Pre-op care only | $38.02 | $109.65 | $208.93 |
Where Arizona sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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· 19th 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.