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 $52.48 Median $138.04 Typical High $190.55 | Professional | None | $52.48 | $138.04 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $154.88 Typical High $407.38 | Facility | None | $64.57 | $154.88 | $407.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $41.69 Median $97.72 Typical High $147.91 | Professional | None | $41.69 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $128.82 Typical High $181.97 | Professional | None | $60.26 | $128.82 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $562.34 | Facility | None | $54.95 | $141.25 | $562.34 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $1,230.27 | Professional | None | $144.54 | $177.83 | $1,230.27 |
United Setting Professional Modifier None Typical Low $60.26 Median $134.90 Typical High $181.97 | Professional | None | $60.26 | $134.90 | $181.97 |
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 $26.30 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $26.30 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $10.47 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $93.33 Typical High $102.33 | Professional | 54 · Surgery only | $39.81 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $18.62 Typical High $20.42 | Professional | 55 · Aftercare only | $7.94 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $12.30 Typical High $13.80 | Professional | 56 · Pre-op care only | $5.25 | $12.30 | $13.80 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 39th of 51
$138
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.