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 $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
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 $147.91 Median $147.91 Typical High $229.09 | Professional | None | $147.91 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $3,019.95 | Facility | None | $758.58 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $354.81 | Professional | None | $218.78 | $245.47 | $354.81 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,621.81 Typical High $5,888.44 | Facility | None | $457.09 | $1,621.81 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $1,819.70 | Professional | None | $213.80 | $288.40 | $1,819.70 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $331.13 | Professional | None | $204.17 | $234.42 | $331.13 |
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 $112.20 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 54 · Surgery only | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $24.55 |
Where Arizona sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 47th of 51
$240
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.