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 $67.61 Median $75.86 Typical High $85.11 | Professional | None | $67.61 | $75.86 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $83.18 | Professional | None | $51.29 | $74.13 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $77.62 | Facility | None | $36.31 | $47.86 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | None | $60.26 | $72.44 | $97.72 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $316.23 Typical High $1,584.89 | Facility | None | $74.13 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $478.63 Typical High $575.44 | Professional | None | $69.18 | $478.63 | $575.44 |
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 $58.88 Median $70.79 Typical High $104.71 | Professional | None | $58.88 | $70.79 | $104.71 |
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 $33.88 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $58.88 Typical High $60.26 | Professional | 54 · Surgery only | $50.12 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $11.75 Typical High $12.02 | Professional | 55 · Aftercare only | $10.23 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.76 | $7.94 | $7.94 |
Where Arizona sits
The same service costs 3.8 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· 34th of 51
$81.28
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.