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 $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | None | $125.89 | $125.89 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,388.44 Typical High $6,606.93 | Facility | None | $758.58 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $218.78 | Professional | None | $138.04 | $144.54 | $218.78 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $4,466.84 Typical High $24,547.09 | Facility | None | $645.65 | $4,466.84 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $1,698.24 | Professional | None | $134.90 | $190.55 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,772.37 | Facility | None | $1,096.48 | $6,309.57 | $9,772.37 |
United Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $245.47 | Professional | None | $131.83 | $151.36 | $245.47 |
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 $74.13 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 54 · Surgery only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $15.49 |
Where Arizona sits
The same service costs 20.4 times more in Kansas than in New York. 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· 9th of 51
$1,096
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.