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 $2,089.30 Median $8,912.51 Typical High $12,882.50 | Facility | None | $2,089.30 | $8,912.51 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $10,232.93 Typical High $10,232.93 | Professional | None | $776.25 | $10,232.93 | $10,232.93 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,949.84 Median $5,011.87 Typical High $12,022.64 | Facility | None | $1,949.84 | $5,011.87 | $12,022.64 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $9,120.11 Typical High $15,488.17 | Facility | None | $7,244.36 | $9,120.11 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $10,000.00 Typical High $40,738.03 | Facility | None | $1,096.48 | $10,000.00 | $40,738.03 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $10,471.29 Typical High $52,480.75 | Facility | None | $1,174.90 | $10,471.29 | $52,480.75 |
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 $389.05 Median $5,128.61 Typical High $5,128.61 | Professional | 52 · Reduced service | $389.05 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $2,041.74 Typical High $2,041.74 | Professional | 53 · Discontinued | $154.88 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $7,762.47 Typical High $7,762.47 | Professional | 54 · Surgery only | $588.84 | $7,762.47 | $7,762.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $1,548.82 Typical High $1,548.82 | Professional | 55 · Aftercare only | $117.49 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $1,023.29 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $77.62 | $1,023.29 | $1,023.29 |
Where Arizona sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 29th of 51
$7,586
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.