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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $436.52 | Professional | None | $194.98 | $208.93 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,041.74 Typical High $3,548.13 | Facility | None | $954.99 | $2,041.74 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $457.09 | Professional | None | $234.42 | $245.47 | $457.09 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,862.09 Typical High $9,332.54 | Facility | None | $436.52 | $1,862.09 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $1,949.84 | Professional | None | $245.47 | $346.74 | $1,949.84 |
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 $239.88 Median $275.42 Typical High $501.19 | Professional | None | $239.88 | $275.42 | $501.19 |
3 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 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | 54 · Surgery only | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $26.30 |
Where Arizona sits
The same service costs 7.2 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· 11th of 51
$631
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.