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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $102.33 | Professional | None | $57.54 | $89.13 | $102.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $63.10 Median $151.36 Typical High $398.11 | Facility | None | $63.10 | $151.36 | $398.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $138.04 | Professional | None | $46.77 | $89.13 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $2,691.53 | Facility | None | $724.44 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $131.83 | Professional | None | $54.95 | $87.10 | $131.83 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $1,584.89 | Facility | None | $81.28 | $302.00 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $398.11 Typical High $1,023.29 | Professional | None | $85.11 | $398.11 | $1,023.29 |
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 $52.48 Median $83.18 Typical High $147.91 | Professional | None | $52.48 | $83.18 | $147.91 |
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 $28.84 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $28.84 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $11.48 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $54.95 Typical High $70.79 | Professional | 54 · Surgery only | $42.66 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.96 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $9.33 |
Where Arizona sits
The same service costs 3.7 times more in Wisconsin 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· 25th of 51
$110
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.