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 $75.86 Median $169.82 Typical High $177.83 | Professional | None | $75.86 | $169.82 | $177.83 |
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 $81.28 Median $194.98 Typical High $275.42 | Professional | None | $81.28 | $194.98 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $2,691.53 | Facility | None | $141.25 | $199.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $223.87 | Professional | None | $83.18 | $169.82 | $223.87 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $741.31 Typical High $3,019.95 | Facility | None | $177.83 | $741.31 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $724.44 Typical High $1,412.54 | Professional | None | $177.83 | $724.44 | $1,412.54 |
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 $75.86 Median $162.18 Typical High $213.80 | Professional | None | $75.86 | $162.18 | $213.80 |
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 $38.02 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $38.02 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $15.14 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $114.82 Typical High $131.83 | Professional | 54 · Surgery only | $56.23 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $22.91 Typical High $26.30 | Professional | 55 · Aftercare only | $11.22 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $15.49 Typical High $17.78 | Professional | 56 · Pre-op care only | $7.59 | $15.49 | $17.78 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 29th of 51
$182
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.