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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $562.34 | Professional | None | $169.82 | $169.82 | $562.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $331.13 Median $794.33 Typical High $2,089.30 | Facility | None | $331.13 | $794.33 | $2,089.30 |
BCBS Arizona Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $186.21 | Professional | None | $85.11 | $91.20 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $3,548.13 | Facility | None | $1,445.44 | $2,089.30 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $588.84 | Professional | None | $316.23 | $562.34 | $588.84 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $1,621.81 Typical High $5,128.61 | Facility | None | $186.21 | $1,621.81 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $3,890.45 | Professional | None | $616.60 | $812.83 | $3,890.45 |
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 $416.87 Median $645.65 Typical High $954.99 | Professional | None | $416.87 | $645.65 | $954.99 |
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 $85.11 Median $85.11 Typical High $125.89 | Professional | 52 · Reduced service | $85.11 | $85.11 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 53 · Discontinued | $33.88 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | 54 · Surgery only | $128.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $38.02 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $25.12 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $25.12 |
Where Arizona sits
The same service costs 53.7 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· 35th of 51
$776
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.