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 $109.65 Median $109.65 Typical High $123.03 | Professional | None | $109.65 | $109.65 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $5,128.61 | Facility | None | $831.76 | $1,949.84 | $5,128.61 |
BCBS Arizona Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $181.97 | Professional | None | $81.28 | $87.10 | $181.97 |
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 $114.82 Median $125.89 Typical High $218.78 | Professional | None | $114.82 | $125.89 | $218.78 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $776.25 Typical High $4,168.69 | Facility | None | $102.33 | $776.25 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $891.25 | Professional | None | $114.82 | $165.96 | $891.25 |
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 $109.65 Median $131.83 Typical High $239.88 | Professional | None | $109.65 | $131.83 | $239.88 |
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 $54.95 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 54 · Surgery only | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $11.22 |
Where Arizona sits
The same service costs 3.9 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· 34th of 51
$178
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.