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 $53.70 Median $60.26 Typical High $63.10 | Professional | None | $53.70 | $60.26 | $63.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $58.88 Median $251.19 Typical High $380.19 | Facility | None | $58.88 | $251.19 | $380.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $95.50 | Professional | None | $42.66 | $52.48 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $120.23 | Professional | None | $48.98 | $57.54 | $120.23 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $912.01 Typical High $2,344.23 | Facility | None | $58.88 | $912.01 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $812.83 Typical High $3,467.37 | Professional | None | $58.88 | $812.83 | $3,467.37 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,454.71 | Facility | None | $812.83 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $102.33 | Professional | None | $48.98 | $58.88 | $102.33 |
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 $26.92 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $45.71 Typical High $46.77 | Professional | 54 · Surgery only | $40.74 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.12 Typical High $9.33 | Professional | 55 · Aftercare only | $8.13 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.03 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.37 | $6.03 | $6.17 |
Where Arizona sits
The same service costs 3.4 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· 42nd of 51
$63.10
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.