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 $48.98 Median $53.70 Typical High $100.00 | Professional | None | $48.98 | $53.70 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $35.48 Median $47.86 Typical High $53.70 | Professional | None | $35.48 | $47.86 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $1,659.59 | Facility | None | $25.70 | $36.31 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $97.72 | Professional | None | $45.71 | $50.12 | $97.72 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $316.23 Typical High $1,584.89 | Facility | None | $53.70 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $380.19 Typical High $426.58 | Professional | None | $67.61 | $380.19 | $426.58 |
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 $56.23 Median $72.44 Typical High $95.50 | Professional | None | $56.23 | $72.44 | $95.50 |
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 $24.55 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $11.75 | Professional | 53 · Discontinued | $9.77 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $39.81 Typical High $44.67 | Professional | 54 · Surgery only | $36.31 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $8.91 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.37 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.90 | $5.37 | $5.89 |
Where Arizona sits
The same service costs 3.6 times more in Wyoming 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· 26th of 51
$83.18
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.