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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $380.19 | Professional | None | $251.19 | $346.74 | $380.19 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $831.76 | Professional | None | $281.84 | $467.74 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $4,786.30 | Facility | None | $831.76 | $2,454.71 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $630.96 | Professional | None | $251.19 | $354.81 | $630.96 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $707.95 Typical High $12,589.25 | Facility | None | $331.13 | $707.95 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $4,897.79 | Professional | None | $363.08 | $562.34 | $4,897.79 |
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 $269.15 Median $389.05 Typical High $645.65 | Professional | None | $269.15 | $389.05 | $645.65 |
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 $125.89 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $125.89 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $257.04 Typical High $263.03 | Professional | 54 · Surgery only | $190.55 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $38.02 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $33.88 Typical High $35.48 | Professional | 56 · Pre-op care only | $25.12 | $33.88 | $35.48 |
Where Arizona sits
The same service costs 3.9 times more in Alaska than in New York. 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
$437
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.