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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $707.95 Typical High $831.76 | Professional | None | $190.55 | $707.95 | $831.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $436.52 Median $1,905.46 Typical High $2,818.38 | Facility | None | $436.52 | $1,905.46 | $2,818.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $218.78 Median $724.44 Typical High $1,318.26 | Professional | None | $218.78 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $660.69 Typical High $1,258.93 | Professional | None | $218.78 | $660.69 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $3,630.78 Typical High $7,244.36 | Facility | None | $208.93 | $3,630.78 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $3,090.30 Typical High $6,165.95 | Professional | None | $812.83 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $6,309.57 Typical High $7,762.47 | Facility | None | $3,467.37 | $6,309.57 | $7,762.47 |
United Setting Professional Modifier None Typical Low $204.17 Median $691.83 Typical High $1,202.26 | Professional | None | $204.17 | $691.83 | $1,202.26 |
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 $95.50 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $95.50 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $38.02 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $467.74 Typical High $562.34 | Professional | 54 · Surgery only | $144.54 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $93.33 Typical High $112.20 | Professional | 55 · Aftercare only | $28.84 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $67.61 Typical High $74.13 | Professional | 56 · Pre-op care only | $19.05 | $67.61 | $74.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 59 · Distinct service | $177.83 | $177.83 | $177.83 |
Where Arizona sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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
$871
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.