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 $154.88 Typical High $186.21 | Professional | None | $102.33 | $154.88 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Professional | None | $173.78 | $177.83 | $177.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $288.40 Median $691.83 Typical High $1,819.70 | Facility | None | $288.40 | $691.83 | $1,819.70 |
BCBS Arizona Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $177.83 | Professional | None | $74.13 | $134.90 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $263.03 | Facility | None | $66.07 | $138.04 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | None | $114.82 | $158.49 | $229.09 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $2,570.40 | Facility | None | $169.82 | $524.81 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $851.14 Typical High $1,318.26 | Professional | None | $151.36 | $851.14 | $1,318.26 |
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 $104.71 Median $147.91 Typical High $218.78 | Professional | None | $104.71 | $147.91 | $218.78 |
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 $51.29 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $51.29 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $20.42 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $104.71 Typical High $117.49 | Professional | 54 · Surgery only | $75.86 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $20.89 Typical High $23.44 | Professional | 55 · Aftercare only | $15.14 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.80 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.23 | $13.80 | $15.49 |
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· 44th of 51
$158
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.