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 $123.03 Median $123.03 Typical High $141.25 | Professional | None | $123.03 | $123.03 | $141.25 |
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 $144.54 Median $144.54 Typical High $223.87 | Professional | None | $144.54 | $144.54 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $1,862.09 | Facility | None | $512.86 | $1,023.29 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | None | $138.04 | $138.04 | $245.47 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $4,897.79 | Facility | None | $380.19 | $954.99 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $1,862.09 | Professional | None | $128.82 | $263.03 | $1,862.09 |
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 $123.03 Median $186.21 Typical High $245.47 | Professional | None | $123.03 | $186.21 | $245.47 |
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 $61.66 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 54 · Surgery only | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $14.13 |
Where Arizona sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 35th of 51
$186
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.