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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,786.30 | Professional | None | $4,168.69 | $4,168.69 | $4,786.30 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $8,709.64 | Professional | None | $3,981.07 | $4,265.80 | $8,709.64 |
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 $3,548.13 Median $3,548.13 Typical High $7,244.36 | Professional | None | $3,548.13 | $3,548.13 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,096.48 Typical High $6,025.60 | Facility | None | $102.33 | $1,096.48 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $3,715.35 Median $5,128.61 Typical High $30,199.52 | Professional | None | $3,715.35 | $5,128.61 | $30,199.52 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $7,943.28 | Professional | None | $3,630.78 | $4,073.80 | $7,943.28 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 53 · Discontinued | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 54 · Surgery only | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 55 · Aftercare only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $416.87 | $416.87 | $416.87 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 36th of 51
$3,981
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.