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 $151.36 Median $676.08 Typical High $933.25 | Professional | None | $151.36 | $676.08 | $933.25 |
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 $123.03 Median $467.74 Typical High $1,023.29 | Professional | None | $123.03 | $467.74 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,659.59 | Facility | None | $588.84 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $630.96 Typical High $1,047.13 | Professional | None | $144.54 | $630.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,380.38 Typical High $3,801.89 | Facility | None | $478.63 | $1,380.38 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $2,754.23 Typical High $5,495.41 | Professional | None | $724.44 | $2,754.23 | $5,495.41 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $1,047.13 | Professional | None | $158.49 | $524.81 | $1,047.13 |
1 more rate 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 $114.82 Median $194.98 Typical High $512.86 | Professional | 54 · Surgery only | $114.82 | $194.98 | $512.86 |
Where Arizona sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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
$759
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.