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 $93.33 Median $134.90 Typical High $177.83 | Professional | None | $93.33 | $134.90 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $1,202.26 | Facility | None | $194.98 | $457.09 | $1,202.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $151.36 | Professional | None | $69.18 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $213.80 | Facility | None | $66.07 | $112.20 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $199.53 | Professional | None | $104.71 | $141.25 | $199.53 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $512.86 Typical High $2,570.40 | Facility | None | $144.54 | $512.86 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $776.25 Typical High $1,122.02 | Professional | None | $128.82 | $776.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $194.98 | Professional | None | $95.50 | $128.82 | $194.98 |
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 $46.77 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $91.20 Typical High $100.00 | Professional | 54 · Surgery only | $70.79 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $19.95 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $12.30 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.33 | $12.30 | $13.49 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 43rd of 51
$138
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.