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 $5,011.87 Typical High $8,128.31 | Facility | None | $977.24 | $5,011.87 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | None | $371.54 | $371.54 | $416.87 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $676.08 | Professional | None | $426.58 | $426.58 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $5,248.07 Typical High $9,332.54 | Facility | None | $1,778.28 | $5,248.07 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $588.84 | Professional | None | $380.19 | $416.87 | $588.84 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $2,630.27 Typical High $15,488.17 | Facility | None | $537.03 | $2,630.27 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $3,311.31 | Professional | None | $380.19 | $630.96 | $3,311.31 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $575.44 | Professional | None | $363.08 | $416.87 | $575.44 |
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 $186.21 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 54 · Surgery only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $41.69 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 43rd of 51
$427
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.