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 $77.62 Median $147.91 Typical High $186.21 | Professional | None | $77.62 | $147.91 | $186.21 |
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 $223.87 Typical High $316.23 | Professional | None | $95.50 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $2,951.21 | Facility | None | $512.86 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $218.78 | Professional | None | $74.13 | $144.54 | $218.78 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $851.14 Typical High $7,943.28 | Facility | None | $186.21 | $851.14 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $794.33 Typical High $1,479.11 | Professional | None | $162.18 | $794.33 | $1,479.11 |
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 $141.25 Typical High $208.93 | Professional | None | $72.44 | $141.25 | $208.93 |
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 $69.18 Typical High $93.33 | Professional | 52 · Reduced service | $38.90 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $27.54 Typical High $37.15 | Professional | 53 · Discontinued | $15.49 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $104.71 Typical High $138.04 | Professional | 54 · Surgery only | $58.88 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $20.89 Typical High $27.54 | Professional | 55 · Aftercare only | $11.75 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $13.80 Typical High $18.62 | Professional | 56 · Pre-op care only | $7.76 | $13.80 | $18.62 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $83.18 | $83.18 | $83.18 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 25th 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.