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 $371.54 Median $1,318.26 Typical High $1,348.96 | Professional | None | $371.54 | $1,318.26 | $1,348.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $316.23 Median $1,202.26 Typical High $1,698.24 | Professional | None | $316.23 | $1,202.26 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $4,570.88 | Facility | None | $1,548.82 | $2,691.53 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,071.52 Typical High $1,949.84 | Professional | None | $363.08 | $1,071.52 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $2,089.30 Typical High $7,079.46 | Facility | None | $524.81 | $2,089.30 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $4,786.30 Typical High $9,120.11 | Professional | None | $1,380.38 | $4,786.30 | $9,120.11 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,047.13 Typical High $2,290.87 | Professional | None | $363.08 | $1,047.13 | $2,290.87 |
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 $181.97 Median $229.09 Typical High $676.08 | Professional | 52 · Reduced service | $181.97 | $229.09 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $269.15 | Professional | 53 · Discontinued | $74.13 | $91.20 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $338.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $275.42 | $338.84 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $67.61 Typical High $199.53 | Professional | 55 · Aftercare only | $54.95 | $67.61 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $45.71 Typical High $134.90 | Professional | 56 · Pre-op care only | $37.15 | $45.71 | $134.90 |
Where Arizona sits
The same service costs 5.1 times more in Alaska 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· 17th of 51
$1,738
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.