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 $28.18 Median $30.20 Typical High $34.67 | Professional | None | $28.18 | $30.20 | $34.67 |
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 $20.42 Median $26.92 Typical High $30.20 | Professional | None | $20.42 | $26.92 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,398.83 Typical High $2,691.53 | Facility | None | $331.13 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $37.15 | Professional | None | $23.44 | $26.92 | $37.15 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $302.00 Typical High $1,698.24 | Facility | None | $30.90 | $302.00 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $512.86 Typical High $794.33 | Professional | None | $24.55 | $512.86 | $794.33 |
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 $22.91 Median $26.92 Typical High $39.81 | Professional | None | $22.91 | $26.92 | $39.81 |
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 $14.13 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $14.13 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $22.91 Typical High $23.99 | Professional | 54 · Surgery only | $21.38 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.57 Typical High $4.79 | Professional | 55 · Aftercare only | $4.27 | $4.57 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.82 | $3.02 | $3.16 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 39th of 51
$33.11
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.