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 $151.36 Median $512.86 Typical High $812.83 | Professional | None | $151.36 | $512.86 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
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 $151.36 Median $524.81 Typical High $954.99 | Professional | None | $151.36 | $524.81 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $1,148.15 | Facility | None | $537.03 | $691.83 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $512.86 Typical High $933.25 | Professional | None | $158.49 | $512.86 | $933.25 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $3,019.95 | Facility | None | $380.19 | $933.25 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $2,630.27 Typical High $5,128.61 | Professional | None | $588.84 | $2,630.27 | $5,128.61 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $147.91 Median $489.78 Typical High $891.25 | Professional | None | $147.91 | $489.78 | $891.25 |
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 $91.20 Median $239.88 Typical High $371.54 | Professional | 52 · Reduced service | $91.20 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $95.50 Typical High $147.91 | Professional | 53 · Discontinued | $36.31 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $363.08 Typical High $549.54 | Professional | 54 · Surgery only | $134.90 | $363.08 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $72.44 Typical High $112.20 | Professional | 55 · Aftercare only | $27.54 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $47.86 Typical High $74.13 | Professional | 56 · Pre-op care only | $18.20 | $47.86 | $74.13 |
Where Arizona sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 14th of 51
$692
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.