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 $125.89 Median $204.17 Typical High $234.42 | Professional | None | $125.89 | $204.17 | $234.42 |
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 $97.72 Median $190.55 Typical High $338.84 | Professional | None | $97.72 | $190.55 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,659.59 | Facility | None | $512.86 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $295.12 | Professional | None | $107.15 | $181.97 | $295.12 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $851.14 Typical High $3,981.07 | Facility | None | $204.17 | $851.14 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $912.01 Typical High $3,548.13 | Professional | None | $186.21 | $912.01 | $3,548.13 |
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 $112.20 Median $177.83 Typical High $288.40 | Professional | None | $112.20 | $177.83 | $288.40 |
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 $61.66 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $147.91 Typical High $154.88 | Professional | 54 · Surgery only | $93.33 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $29.51 Typical High $30.90 | Professional | 55 · Aftercare only | $18.62 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $19.50 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.59 | $19.50 | $20.42 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 33rd of 51
$224
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.