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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | None | $97.72 | $114.82 | $138.04 |
BCBS Arizona Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $309.03 | Facility | None | $48.98 | $117.49 | $309.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | None | $79.43 | $107.15 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $616.60 | Facility | None | $56.23 | $66.07 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $144.54 | Professional | None | $85.11 | $104.71 | $144.54 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $316.23 Typical High $1,584.89 | Facility | None | $114.82 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $812.83 Typical High $2,187.76 | Professional | None | $93.33 | $812.83 | $2,187.76 |
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 $81.28 Median $100.00 Typical High $147.91 | Professional | None | $81.28 | $100.00 | $147.91 |
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 $52.48 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $52.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 54 · Surgery only | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $15.85 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.47 | $12.02 | $12.02 |
Where Arizona sits
The same service costs 4.5 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· 37th of 51
$117
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.