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 $144.54 Median $181.97 Typical High $181.97 | Professional | None | $144.54 | $181.97 | $181.97 |
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 $120.23 Median $173.78 Typical High $338.84 | Professional | None | $120.23 | $173.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $1,659.59 | Facility | None | $91.20 | $128.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $288.40 | Professional | None | $125.89 | $158.49 | $288.40 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $616.60 Typical High $1,905.46 | Facility | None | $177.83 | $616.60 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $1,047.13 Typical High $1,318.26 | Professional | None | $165.96 | $1,047.13 | $1,318.26 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $288.40 | Professional | None | $134.90 | $169.82 | $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 $72.44 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $72.44 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $28.84 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $134.90 Typical High $138.04 | Professional | 54 · Surgery only | $107.15 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.92 Typical High $27.54 | Professional | 55 · Aftercare only | $21.38 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $14.45 | $18.20 | $18.20 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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· 37th of 51
$200
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.