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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
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 $616.60 Median $616.60 Typical High $977.24 | Professional | None | $616.60 | $616.60 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,290.87 Typical High $2,691.53 | Facility | None | $436.52 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,047.13 | Professional | None | $562.34 | $676.08 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $602.56 Typical High $3,090.30 | Facility | None | $199.53 | $602.56 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $5,011.87 | Professional | None | $616.60 | $831.76 | $5,011.87 |
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 $588.84 Median $660.69 Typical High $1,000.00 | Professional | None | $588.84 | $660.69 | $1,000.00 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Where Arizona sits
The same service costs 4.7 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· 45th of 51
$676
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.