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 $138.04 Median $138.04 Typical High $186.21 | Professional | None | $138.04 | $138.04 | $186.21 |
BCBS Arizona Setting Facility Modifier None Typical Low $323.59 Median $776.25 Typical High $2,041.74 | Facility | None | $323.59 | $776.25 | $2,041.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $380.19 | Professional | None | $169.82 | $181.97 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $380.19 | Facility | None | $158.49 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $309.03 | Professional | None | $154.88 | $162.18 | $309.03 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $338.84 Typical High $1,905.46 | Facility | None | $151.36 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $1,258.93 | Professional | None | $165.96 | $234.42 | $1,258.93 |
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 $162.18 Median $186.21 Typical High $338.84 | Professional | None | $162.18 | $186.21 | $338.84 |
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 $69.18 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 54 · Surgery only | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $15.49 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 26th of 51
$245
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.