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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $645.65 Typical High $1,380.38 | Professional | None | $302.00 | $645.65 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $954.99 Typical High $954.99 | Professional | None | $263.03 | $954.99 | $954.99 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,621.81 Typical High $3,981.07 | Facility | None | $630.96 | $1,621.81 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $1,318.26 | Professional | None | $257.04 | $346.74 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $6,760.83 | Facility | None | $1,412.54 | $1,949.84 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $851.14 Typical High $1,621.81 | Professional | None | $281.84 | $851.14 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,187.76 Typical High $7,244.36 | Facility | None | $602.56 | $2,187.76 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $9,120.11 Typical High $11,220.18 | Professional | None | $1,096.48 | $9,120.11 | $11,220.18 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $288.40 Median $870.96 Typical High $1,819.70 | Professional | None | $288.40 | $870.96 | $1,819.70 |
3 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 54 · Surgery only Typical Low $223.87 Median $281.84 Typical High $776.25 | Professional | 54 · Surgery only | $223.87 | $281.84 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $56.23 Typical High $154.88 | Professional | 55 · Aftercare only | $44.67 | $56.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $102.33 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $102.33 |
Where Arizona sits
The same service costs 4.8 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· 30th of 51
$1,259
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.