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 $74.13 Median $147.91 Typical High $199.53 | Professional | None | $74.13 | $147.91 | $199.53 |
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 $89.13 Median $218.78 Typical High $331.13 | Professional | None | $89.13 | $218.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,659.59 | Facility | None | $446.68 | $616.60 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $234.42 | Professional | None | $77.62 | $151.36 | $234.42 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $851.14 Typical High $3,388.44 | Facility | None | $204.17 | $851.14 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $851.14 Typical High $1,659.59 | Professional | None | $158.49 | $851.14 | $1,659.59 |
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 $70.79 Median $144.54 Typical High $208.93 | Professional | None | $70.79 | $144.54 | $208.93 |
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 $37.15 Median $72.44 Typical High $100.00 | Professional | 52 · Reduced service | $37.15 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $14.79 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $107.15 Typical High $151.36 | Professional | 54 · Surgery only | $56.23 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $21.88 Typical High $30.20 | Professional | 55 · Aftercare only | $11.22 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $14.45 Typical High $19.95 | Professional | 56 · Pre-op care only | $7.41 | $14.45 | $19.95 |
Where Arizona sits
The same service costs 4.1 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· 26th 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.