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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | None | $245.47 | $245.47 | $263.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,047.13 | Professional | None | $676.08 | $676.08 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $354.81 | Professional | None | $234.42 | $263.03 | $354.81 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $776.25 Typical High $4,168.69 | Facility | None | $102.33 | $776.25 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $4,365.16 | Professional | None | $190.55 | $251.19 | $4,365.16 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $309.03 | Professional | None | $186.21 | $213.80 | $309.03 |
3 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 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | 54 · Surgery only | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $25.12 |
Where Arizona sits
The same service costs 8.1 times more in New York than in Missouri. 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· 41st of 51
$257
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.