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 $138.04 Median $275.42 Typical High $331.13 | Professional | None | $138.04 | $275.42 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $537.03 | Facility | None | $85.11 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $102.33 Median $263.03 Typical High $371.54 | Professional | None | $102.33 | $263.03 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $316.23 Typical High $537.03 | Professional | None | $158.49 | $316.23 | $537.03 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $933.25 Typical High $2,344.23 | Facility | None | $151.36 | $933.25 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $1,288.25 Typical High $2,570.40 | Professional | None | $323.59 | $1,288.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $489.78 | Professional | None | $151.36 | $302.00 | $489.78 |
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 $69.18 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $69.18 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $27.54 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $102.33 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $20.42 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $13.80 | $25.70 | $29.51 |
Where Arizona sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 33rd of 51
$324
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.