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 $398.11 Median $398.11 Typical High $524.81 | Professional | None | $398.11 | $398.11 | $524.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $1,096.48 | Professional | None | $489.78 | $524.81 | $1,096.48 |
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 $407.38 Median $457.09 Typical High $912.01 | Professional | None | $407.38 | $457.09 | $912.01 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $407.38 Typical High $2,344.23 | Facility | None | $190.55 | $407.38 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $3,715.35 | Professional | None | $436.52 | $660.69 | $3,715.35 |
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 $407.38 Median $512.86 Typical High $954.99 | Professional | None | $407.38 | $512.86 | $954.99 |
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 $199.53 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | 54 · Surgery only | $302.00 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $44.67 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Arkansas. 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· 39th of 51
$550
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.