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 $25.12 Median $33.11 Typical High $54.95 | Professional | None | $25.12 | $33.11 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,288.25 | Facility | None | $204.17 | $489.78 | $1,288.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $87.10 | Professional | None | $29.51 | $45.71 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,691.53 Typical High $2,691.53 | Facility | None | $331.13 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $60.26 | Professional | None | $26.30 | $34.67 | $60.26 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $302.00 Typical High $2,344.23 | Facility | None | $36.31 | $302.00 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $457.09 Typical High $501.19 | Professional | None | $35.48 | $457.09 | $501.19 |
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 Typical Low $27.54 Median $36.31 Typical High $61.66 | Professional | None | $27.54 | $36.31 | $61.66 |
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 $12.59 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $12.59 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.01 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | 54 · Surgery only | $18.62 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $3.80 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.51 | $3.31 | $3.31 |
Where Arizona sits
The same service costs 3.3 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· 30th of 51
$45.71
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.