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 $70.79 Median $104.71 Typical High $117.49 | Professional | None | $70.79 | $104.71 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $144.54 Median $346.74 Typical High $912.01 | Facility | None | $144.54 | $346.74 | $912.01 |
BCBS Arizona Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $120.23 | Professional | None | $50.12 | $93.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $2,691.53 | Facility | None | $524.81 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $154.88 | Professional | None | $81.28 | $109.65 | $154.88 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $309.03 Typical High $1,905.46 | Facility | None | $104.71 | $309.03 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $588.84 Typical High $891.25 | Professional | None | $104.71 | $588.84 | $891.25 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $151.36 | Professional | None | $74.13 | $102.33 | $151.36 |
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 $35.48 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $74.13 Typical High $79.43 | Professional | 54 · Surgery only | $52.48 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $14.79 Typical High $15.85 | Professional | 55 · Aftercare only | $10.72 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $10.47 |
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· 40th of 51
$110
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.