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 $95.50 Median $95.50 Typical High $107.15 | Professional | None | $95.50 | $95.50 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $239.88 | Professional | None | $109.65 | $117.49 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,659.59 | Facility | None | $346.74 | $467.74 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $190.55 | Professional | None | $95.50 | $107.15 | $190.55 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $707.95 Typical High $2,570.40 | Facility | None | $134.90 | $707.95 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $812.83 | Professional | None | $95.50 | $147.91 | $812.83 |
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 $89.13 Median $112.20 Typical High $199.53 | Professional | None | $89.13 | $112.20 | $199.53 |
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 $47.86 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $47.86 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $19.05 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 54 · Surgery only | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $10.00 |
Where Arizona sits
The same service costs 4.4 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· 7th of 51
$331
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.