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 $79.43 Median $707.95 Typical High $831.76 | Professional | None | $79.43 | $707.95 | $831.76 |
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 $95.50 Median $912.01 Typical High $1,380.38 | Professional | None | $95.50 | $912.01 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $1,659.59 | Facility | None | $588.84 | $794.33 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $281.84 Typical High $1,000.00 | Professional | None | $75.86 | $281.84 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $3,630.78 | Facility | None | $346.74 | $933.25 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $3,467.37 Typical High $6,918.31 | Professional | None | $812.83 | $3,467.37 | $6,918.31 |
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 $72.44 Median $575.44 Typical High $977.24 | Professional | None | $72.44 | $575.44 | $977.24 |
6 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 $38.90 Median $123.03 Typical High $407.38 | Professional | 52 · Reduced service | $38.90 | $123.03 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $125.89 Typical High $165.96 | Professional | 53 · Discontinued | $15.85 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $478.63 Typical High $616.60 | Professional | 54 · Surgery only | $58.88 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $95.50 Typical High $123.03 | Professional | 55 · Aftercare only | $11.75 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $63.10 Typical High $83.18 | Professional | 56 · Pre-op care only | $7.94 | $63.10 | $83.18 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 51 · Multiple procedures | $77.62 | $77.62 | $77.62 |
Where Arizona sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 18th of 51
$832
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.