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 $83.18 Median $154.88 Typical High $190.55 | Professional | None | $83.18 | $154.88 | $190.55 |
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 $102.33 Median $229.09 Typical High $331.13 | Professional | None | $102.33 | $229.09 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,659.59 | Facility | None | $512.86 | $758.58 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $229.09 | Professional | None | $85.11 | $165.96 | $229.09 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $851.14 Typical High $3,630.78 | Facility | None | $208.93 | $851.14 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $812.83 Typical High $1,548.82 | Professional | None | $177.83 | $812.83 | $1,548.82 |
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 $81.28 Median $162.18 Typical High $218.78 | Professional | None | $81.28 | $162.18 | $218.78 |
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 $41.69 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $41.69 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $16.60 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $109.65 Typical High $144.54 | Professional | 54 · Surgery only | $61.66 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $21.88 Typical High $28.84 | Professional | 55 · Aftercare only | $12.30 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $14.79 Typical High $19.05 | Professional | 56 · Pre-op care only | $8.32 | $14.79 | $19.05 |
Where Arizona sits
The same service costs 4.2 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· 29th of 51
$191
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.