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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | None | $323.59 | $323.59 | $371.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | None | $371.54 | $371.54 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,023.29 Typical High $2,187.76 | Facility | None | $691.83 | $1,023.29 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $537.03 | Professional | None | $354.81 | $371.54 | $537.03 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,905.46 Typical High $6,456.54 | Facility | None | $489.78 | $1,905.46 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $2,818.38 | Professional | None | $338.84 | $575.44 | $2,818.38 |
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 $323.59 Median $371.54 Typical High $512.86 | Professional | None | $323.59 | $371.54 | $512.86 |
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 $162.18 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | 54 · Surgery only | $245.47 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $37.15 |
Where Arizona sits
The same service costs 4.8 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· 41st of 51
$389
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.