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 $316.23 Median $316.23 Typical High $331.13 | Professional | None | $316.23 | $316.23 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $1,737.80 | Facility | None | $275.42 | $660.69 | $1,737.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $524.81 | Professional | None | $323.59 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,290.87 Typical High $2,691.53 | Facility | None | $331.13 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $562.34 | Professional | None | $302.00 | $363.08 | $562.34 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $2,630.27 | Facility | None | $199.53 | $416.87 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $2,630.27 | Professional | None | $323.59 | $446.68 | $2,630.27 |
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 $316.23 Median $354.81 Typical High $537.03 | Professional | None | $316.23 | $354.81 | $537.03 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Where Arizona sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 46th of 51
$363
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.