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 $331.13 Median $331.13 Typical High $380.19 | Professional | None | $331.13 | $331.13 | $380.19 |
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 $263.03 Median $281.84 Typical High $588.84 | Professional | None | $263.03 | $281.84 | $588.84 |
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 $316.23 Median $331.13 Typical High $616.60 | Professional | None | $316.23 | $331.13 | $616.60 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,905.46 Typical High $12,022.64 | Facility | None | $478.63 | $1,905.46 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $2,630.27 | Professional | None | $331.13 | $489.78 | $2,630.27 |
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 $316.23 Median $371.54 Typical High $660.69 | Professional | None | $316.23 | $371.54 | $660.69 |
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 $165.96 Median $165.96 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | 54 · Surgery only | $251.19 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $35.48 |
Where Arizona sits
The same service costs 7.8 times more in Oklahoma 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· 22nd of 51
$603
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.