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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $3,801.89 | Facility | None | $616.60 | $1,479.11 | $3,801.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $1,000.00 | Professional | None | $457.09 | $489.78 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,691.53 Typical High $2,691.53 | Facility | None | $524.81 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $831.76 | Professional | None | $426.58 | $436.52 | $831.76 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $831.76 Typical High $5,128.61 | Facility | None | $104.71 | $831.76 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $3,388.44 | Professional | None | $446.68 | $676.08 | $3,388.44 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $912.01 | Professional | None | $436.52 | $501.19 | $912.01 |
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 $186.21 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 54 · Surgery only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $41.69 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 30th of 51
$603
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.