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 $239.88 Median $309.03 Typical High $331.13 | Professional | None | $239.88 | $309.03 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $812.83 | Professional | None | $295.12 | $426.58 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $1,659.59 | Facility | None | $165.96 | $229.09 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $630.96 | Professional | None | $269.15 | $354.81 | $630.96 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $1,905.46 | Facility | None | $199.53 | $354.81 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $2,187.76 Typical High $2,884.03 | Professional | None | $371.54 | $2,187.76 | $2,884.03 |
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 $275.42 Median $380.19 Typical High $630.96 | Professional | None | $275.42 | $380.19 | $630.96 |
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 $120.23 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $47.86 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $35.48 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $30.90 | $30.90 |
Where Arizona sits
The same service costs 2.9 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· 37th of 51
$407
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.