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 $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $177.83 Median $416.87 Typical High $1,096.48 | Facility | None | $177.83 | $416.87 | $1,096.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | None | $43.65 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $1,659.59 | Facility | None | $234.42 | $316.23 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $74.13 | Professional | None | $45.71 | $52.48 | $74.13 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $354.81 Typical High $1,862.09 | Facility | None | $77.62 | $354.81 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $478.63 | Professional | None | $45.71 | $81.28 | $478.63 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $72.44 | Professional | None | $44.67 | $51.29 | $72.44 |
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 $26.92 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $26.92 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 54 · Surgery only | $40.74 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.50 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 45th of 51
$53.70
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.