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 $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
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 $128.82 Median $128.82 Typical High $204.17 | Professional | None | $128.82 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $4,677.35 Typical High $9,120.11 | Facility | None | $724.44 | $4,677.35 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $177.83 | Professional | None | $102.33 | $120.23 | $177.83 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $2,884.03 Typical High $14,791.08 | Facility | None | $208.93 | $2,884.03 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $851.14 | Professional | None | $104.71 | $177.83 | $851.14 |
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 $95.50 Median $112.20 Typical High $158.49 | Professional | None | $95.50 | $112.20 | $158.49 |
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 $53.70 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 54 · Surgery only | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $11.75 |
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· 39th of 51
$123
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.