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 $128.82 Median $128.82 Typical High $154.88 | Professional | None | $128.82 | $128.82 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $158.49 Median $380.19 Typical High $977.24 | Facility | None | $158.49 | $380.19 | $977.24 |
BCBS Arizona Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $213.80 | Professional | None | $97.72 | $104.71 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $1,659.59 | Facility | None | $457.09 | $616.60 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $257.04 | Professional | None | $128.82 | $134.90 | $257.04 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $707.95 Typical High $3,467.37 | Facility | None | $223.87 | $707.95 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $1,995.26 | Professional | None | $114.82 | $177.83 | $1,995.26 |
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 $112.20 Median $138.04 Typical High $281.84 | Professional | None | $112.20 | $138.04 | $281.84 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Where Arizona sits
The same service costs 4.3 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· 33rd of 51
$234
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.