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 $213.80 Typical High $245.47 | Professional | None | $102.33 | $213.80 | $245.47 |
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 $72.44 Median $173.78 Typical High $245.47 | Professional | None | $72.44 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $389.05 | Professional | None | $117.49 | $239.88 | $389.05 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $1,258.93 Typical High $3,467.37 | Facility | None | $112.20 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $954.99 Typical High $1,862.09 | Professional | None | $239.88 | $954.99 | $1,862.09 |
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 $223.87 Typical High $363.08 | Professional | None | $117.49 | $223.87 | $363.08 |
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 $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $51.29 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $40.74 Typical High $43.65 | Professional | 53 · Discontinued | $20.42 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $151.36 Typical High $162.18 | Professional | 54 · Surgery only | $75.86 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $30.20 Typical High $32.36 | Professional | 55 · Aftercare only | $15.14 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.23 | $20.42 | $21.38 |
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
$240
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.