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 $112.20 Median $223.87 Typical High $234.42 | Facility | None | $112.20 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | None | $70.79 | $70.79 | $75.86 |
BCBS Setting Facility Modifier None Typical Low $81.28 Median $354.81 Typical High $524.81 | Facility | None | $81.28 | $354.81 | $524.81 |
BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None | $70.79 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | None | $67.61 | $67.61 | $109.65 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $138.04 | Facility | None | $70.79 | $77.62 | $138.04 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $489.78 | Professional | None | $72.44 | $147.91 | $489.78 |
United Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $102.33 | Professional | None | $69.18 | $75.86 | $102.33 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.59 |
Where Arizona sits
The same service costs 3.0 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· 43rd of 51
$75.86
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.