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 $125.89 Median $263.03 Typical High $281.84 | Professional | None | $125.89 | $263.03 | $281.84 |
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 $97.72 Median $239.88 Typical High $338.84 | Professional | None | $97.72 | $239.88 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $501.19 | Professional | None | $147.91 | $295.12 | $501.19 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $933.25 Typical High $2,344.23 | Facility | None | $138.04 | $933.25 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $1,174.90 Typical High $2,344.23 | Professional | None | $309.03 | $1,174.90 | $2,344.23 |
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 $147.91 Median $281.84 Typical High $467.74 | Professional | None | $147.91 | $281.84 | $467.74 |
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 $61.66 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $61.66 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $25.12 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $177.83 Typical High $208.93 | Professional | 54 · Surgery only | $93.33 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $35.48 Typical High $41.69 | Professional | 55 · Aftercare only | $18.62 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $23.99 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.59 | $23.99 | $28.18 |
Where Arizona sits
The same service costs 3.5 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· 28th of 51
$309
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.