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 $54.95 Median $69.18 Typical High $75.86 | Professional | None | $54.95 | $69.18 | $75.86 |
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 $63.10 Median $91.20 Typical High $120.23 | Professional | None | $63.10 | $91.20 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $1,659.59 | Facility | None | $48.98 | $67.61 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $100.00 | Professional | None | $53.70 | $70.79 | $100.00 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $851.14 Typical High $2,511.89 | Facility | None | $69.18 | $851.14 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $436.52 Typical High $549.54 | Professional | None | $72.44 | $436.52 | $549.54 |
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 $51.29 Median $67.61 Typical High $91.20 | Professional | None | $51.29 | $67.61 | $91.20 |
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 $27.54 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | 54 · Surgery only | $41.69 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.50 | $6.92 | $6.92 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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· 38th of 51
$74.13
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.