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 $102.33 Median $218.78 Typical High $239.88 | Professional | None | $102.33 | $218.78 | $239.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $117.49 Median $501.19 Typical High $758.58 | Facility | None | $117.49 | $501.19 | $758.58 |
BCBS Arizona Setting Professional Modifier None Typical Low $74.13 Median $177.83 Typical High $251.19 | Professional | None | $74.13 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $398.11 | Professional | None | $120.23 | $251.19 | $398.11 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $1,258.93 Typical High $3,467.37 | Facility | None | $114.82 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $977.24 Typical High $2,454.71 | Professional | None | $251.19 | $977.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,122.02 | $2,691.53 | $3,715.35 |
United Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $371.54 | Professional | None | $117.49 | $229.09 | $371.54 |
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 $51.29 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $51.29 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $20.89 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $158.49 Typical High $165.96 | Professional | 54 · Surgery only | $77.62 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $15.49 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $10.23 | $21.38 | $22.39 |
Where Arizona sits
The same service costs 3.4 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· 32nd of 51
$251
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.