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 $16.60 Median $21.38 Typical High $43.65 | Professional | None | $16.60 | $21.38 | $43.65 |
BCBS Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $144.54 | Facility | None | $22.39 | $95.50 | $144.54 |
BCBS Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $128.82 | Professional | None | $18.20 | $18.20 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $32.36 | Professional | None | $16.22 | $18.20 | $32.36 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $38.02 | Facility | None | $16.60 | $18.20 | $38.02 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $37.15 | Professional | None | $17.38 | $21.88 | $37.15 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $37.15 | Professional | None | $17.78 | $22.39 | $37.15 |
4 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 $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.62 |
Where Arizona sits
The same service costs 40.7 times more in Tennessee than in New York. 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· 13th of 51
$40.74
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.