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 $144.54 Median $316.23 Typical High $416.87 | Professional | None | $144.54 | $316.23 | $416.87 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $316.23 Median $758.58 Typical High $1,995.26 | Facility | None | $316.23 | $758.58 | $1,995.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $426.58 | Professional | None | $125.89 | $281.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,398.83 Typical High $2,691.53 | Facility | None | $588.84 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $436.52 | Professional | None | $138.04 | $288.40 | $436.52 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $354.81 Typical High $2,238.72 | Facility | None | $162.18 | $354.81 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $1,949.84 Typical High $2,398.83 | Professional | None | $331.13 | $1,949.84 | $2,398.83 |
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 $141.25 Median $295.12 Typical High $467.74 | Professional | None | $141.25 | $295.12 | $467.74 |
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 $109.65 Median $141.25 Typical High $245.47 | Professional | 54 · Surgery only | $109.65 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $28.18 Typical High $48.98 | Professional | 55 · Aftercare only | $21.88 | $28.18 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $18.62 Typical High $32.36 | Professional | 56 · Pre-op care only | $14.45 | $18.62 | $32.36 |
Where Arizona sits
The same service costs 3.4 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
$355
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.