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 $66.07 Median $97.72 Typical High $109.65 | Professional | None | $66.07 | $97.72 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $66.07 Median $281.84 Typical High $426.58 | Facility | None | $66.07 | $281.84 | $426.58 |
BCBS Arizona Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $141.25 | Professional | None | $52.48 | $97.72 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $194.98 | Professional | None | $61.66 | $104.71 | $194.98 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $954.99 Typical High $2,344.23 | Facility | None | $72.44 | $954.99 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $1,071.52 Typical High $3,548.13 | Professional | None | $100.00 | $1,071.52 | $3,548.13 |
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 $66.07 Median $97.72 Typical High $162.18 | Professional | None | $66.07 | $97.72 | $162.18 |
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 $33.11 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $33.11 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $13.18 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $67.61 Typical High $83.18 | Professional | 54 · Surgery only | $50.12 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.49 Typical High $16.60 | Professional | 55 · Aftercare only | $10.00 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.91 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.61 | $8.91 | $10.96 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 38th of 51
$110
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.