How much rates vary
Facilitymedian $331 · 10th to 90th $30 to $2,344Professionalmedian $126 · 10th to 90th $110 to $1,148
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 (both parts) Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $14.79 | $14.79 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $616.60 | Facility | None | $97.72 | $234.42 | $616.60 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $117.49 | $125.89 | $263.03 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $104.71 | $112.20 | $229.09 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $30.20 | Professional | TC · Technical part | $13.80 | $14.79 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $66.07 | Facility | None | $14.45 | $18.20 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $109.65 | $114.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $199.53 | Professional | 26 · Professional part | $95.50 | $102.33 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $12.88 Typical High $24.55 | Professional | TC · Technical part | $11.22 | $12.88 | $24.55 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $1,862.09 | Facility | None | $134.90 | $354.81 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $1,148.15 | Professional | None (both parts) | $112.20 | $165.96 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $151.36 Typical High $812.83 | Professional | 26 · Professional part | $102.33 | $151.36 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $16.60 Typical High $676.08 | Professional | TC · Technical part | $10.96 | $16.60 | $676.08 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $109.65 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $114.82 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $12.02 Typical High $24.55 | Professional | TC · Technical part | $10.47 | $12.02 | $24.55 |
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 $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 54 · Surgery only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
Where Arizona sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 34th of 51
$151
AK $490AL $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.