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 $436.52 Median $436.52 Typical High $501.19 | Professional | None | $436.52 | $436.52 | $501.19 |
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 $346.74 Median $371.54 Typical High $776.25 | Professional | None | $346.74 | $371.54 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,884.03 Typical High $5,623.41 | Facility | None | $512.86 | $2,884.03 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $831.76 | Professional | None | $416.87 | $436.52 | $831.76 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $12,022.64 | Facility | None | $478.63 | $954.99 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $3,467.37 | Professional | None | $436.52 | $645.65 | $3,467.37 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $891.25 | Professional | None | $426.58 | $489.78 | $891.25 |
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 $218.78 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $331.13 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $47.86 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in New York. 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· 37th of 51
$617
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.