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 $33.11 Median $40.74 Typical High $48.98 | Professional | None | $33.11 | $40.74 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $43.65 | Professional | None | $26.92 | $38.90 | $43.65 |
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 $30.20 Median $36.31 Typical High $52.48 | Professional | None | $30.20 | $36.31 | $52.48 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $316.23 Typical High $1,584.89 | Facility | None | $43.65 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $416.87 Typical High $812.83 | Professional | None | $34.67 | $416.87 | $812.83 |
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 $28.18 Median $35.48 Typical High $53.70 | Professional | None | $28.18 | $35.48 | $53.70 |
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 $17.78 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 54 · Surgery only | $26.92 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $5.37 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.55 | $4.27 | $4.37 |
Where Arizona sits
The same service costs 3.8 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· 36th of 51
$43.65
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.