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 $81.28 Median $102.33 Typical High $109.65 | Professional | None | $81.28 | $102.33 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $537.03 | Facility | None | $85.11 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $169.82 | Professional | None | $69.18 | $104.71 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $186.21 | Professional | None | $70.79 | $95.50 | $186.21 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $912.01 Typical High $2,344.23 | Facility | None | $89.13 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $912.01 Typical High $912.01 | Professional | None | $91.20 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $162.18 | Professional | None | $74.13 | $95.50 | $162.18 |
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 $40.74 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $16.22 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $75.86 Typical High $81.28 | Professional | 54 · Surgery only | $61.66 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $15.14 Typical High $16.60 | Professional | 55 · Aftercare only | $12.30 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.00 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.13 | $10.00 | $10.96 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 39th of 51
$105
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.