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 $47.86 Median $95.50 Typical High $120.23 | Professional | None | $47.86 | $95.50 | $120.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $46.77 Median $199.53 Typical High $302.00 | Facility | None | $46.77 | $199.53 | $302.00 |
BCBS Arizona Setting Professional Modifier None Typical Low $39.81 Median $104.71 Typical High $147.91 | Professional | None | $39.81 | $104.71 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $112.20 Typical High $223.87 | Professional | None | $44.67 | $112.20 | $223.87 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $912.01 Typical High $2,344.23 | Facility | None | $52.48 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $1,000.00 Typical High $3,388.44 | Professional | None | $120.23 | $1,000.00 | $3,388.44 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $46.77 Median $104.71 Typical High $213.80 | Professional | None | $46.77 | $104.71 | $213.80 |
4 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 $23.99 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $23.99 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $9.55 | $18.20 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $13.80 Typical High $17.38 | Professional | 55 · Aftercare only | $7.08 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $9.12 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.79 | $9.12 | $11.75 |
Where Arizona sits
The same service costs 2.7 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· 33rd of 51
$120
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.