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 $120.23 Median $229.09 Typical High $251.19 | Professional | None | $120.23 | $229.09 | $251.19 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $100.00 Median $263.03 Typical High $389.05 | Professional | None | $100.00 | $263.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $2,187.76 | Facility | None | $562.34 | $776.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $269.15 | Professional | None | $109.65 | $165.96 | $269.15 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $3,548.13 | Facility | None | $218.78 | $616.60 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $912.01 Typical High $1,698.24 | Professional | None | $186.21 | $912.01 | $1,698.24 |
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 $100.00 Median $173.78 Typical High $302.00 | Professional | None | $100.00 | $173.78 | $302.00 |
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 $60.26 Median $74.13 Typical High $125.89 | Professional | 52 · Reduced service | $60.26 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $51.29 | Professional | 53 · Discontinued | $23.99 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | 54 · Surgery only | $89.13 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $21.88 Typical High $38.02 | Professional | 55 · Aftercare only | $17.78 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.79 Typical High $25.12 | Professional | 56 · Pre-op care only | $12.02 | $14.79 | $25.12 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 10th of 51
$389
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.