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 $60.26 Median $112.20 Typical High $151.36 | Professional | None | $60.26 | $112.20 | $151.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $70.79 Median $309.03 Typical High $457.09 | Facility | None | $70.79 | $309.03 | $457.09 |
BCBS Arizona Setting Professional Modifier None Typical Low $53.70 Median $141.25 Typical High $204.17 | Professional | None | $53.70 | $141.25 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $229.09 | Professional | None | $60.26 | $131.83 | $229.09 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $138.04 Typical High $194.98 | Facility | None | $61.66 | $138.04 | $194.98 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $549.54 Typical High $933.25 | Professional | None | $138.04 | $549.54 | $933.25 |
United Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $208.93 | Professional | None | $61.66 | $125.89 | $208.93 |
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 $30.20 Median $45.71 Typical High $69.18 | Professional | 52 · Reduced service | $30.20 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $18.20 Typical High $27.54 | Professional | 53 · Discontinued | $12.02 | $18.20 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $69.18 Typical High $102.33 | Professional | 54 · Surgery only | $44.67 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $13.80 Typical High $20.42 | Professional | 55 · Aftercare only | $8.91 | $13.80 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $9.12 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.03 | $9.12 | $13.80 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 25th of 51
$141
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.