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 $89.13 Median $398.11 Typical High $457.09 | Professional | None | $89.13 | $398.11 | $457.09 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $75.86 Median $371.54 Typical High $524.81 | Professional | None | $75.86 | $371.54 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $2,691.53 | Facility | None | $346.74 | $489.78 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $213.80 Typical High $524.81 | Professional | None | $83.18 | $213.80 | $524.81 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $549.54 Typical High $2,570.40 | Facility | None | $234.42 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,318.26 Typical High $2,691.53 | Professional | None | $407.38 | $1,318.26 | $2,691.53 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $87.10 Median $331.13 Typical High $616.60 | Professional | None | $87.10 | $331.13 | $616.60 |
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 $44.67 Median $57.54 Typical High $199.53 | Professional | 52 · Reduced service | $44.67 | $57.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $79.43 | Professional | 53 · Discontinued | $17.78 | $22.91 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $87.10 Typical High $302.00 | Professional | 54 · Surgery only | $66.07 | $87.10 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $17.38 Typical High $60.26 | Professional | 55 · Aftercare only | $13.18 | $17.38 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $11.48 Typical High $39.81 | Professional | 56 · Pre-op care only | $8.91 | $11.48 | $39.81 |
Where Arizona sits
The same service costs 7.8 times more in Oklahoma 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
$437
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.