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 $123.03 Median $1,202.26 Typical High $1,819.70 | Professional | None | $123.03 | $1,202.26 | $1,819.70 |
Ambetter Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,258.93 | $1,548.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $43.65 Median $104.71 Typical High $275.42 | Facility | None | $43.65 | $104.71 | $275.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $107.15 Median $758.58 Typical High $1,778.28 | Professional | None | $107.15 | $758.58 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $6,760.83 | Facility | None | $1,023.29 | $1,348.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $316.23 Typical High $1,949.84 | Professional | None | $123.03 | $316.23 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $3,388.44 | Facility | None | $380.19 | $954.99 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $4,570.88 Typical High $9,332.54 | Professional | None | $1,479.11 | $4,570.88 | $9,332.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $114.82 Median $1,174.90 Typical High $2,137.96 | Professional | None | $114.82 | $1,174.90 | $2,137.96 |
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 $64.57 Median $79.43 Typical High $676.08 | Professional | 52 · Reduced service | $64.57 | $79.43 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $269.15 | Professional | 53 · Discontinued | $25.70 | $31.62 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $117.49 Typical High $1,000.00 | Professional | 54 · Surgery only | $97.72 | $117.49 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $23.44 Typical High $199.53 | Professional | 55 · Aftercare only | $19.50 | $23.44 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.85 Typical High $134.90 | Professional | 56 · Pre-op care only | $12.88 | $15.85 | $134.90 |
Where Arizona sits
The same service costs 10.5 times more in Alaska than in Nebraska. 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· 27th of 51
$1,288
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.