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 $1,148.15 Median $16,595.87 Typical High $16,595.87 | Professional | None | $1,148.15 | $16,595.87 | $16,595.87 |
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 $10,964.78 Median $14,454.40 Typical High $26,302.68 | Facility | None | $10,964.78 | $14,454.40 | $26,302.68 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $10,000.00 Typical High $48,977.88 | Facility | None | $1,096.48 | $10,000.00 | $48,977.88 |
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 $575.44 Median $8,317.64 Typical High $8,317.64 | Professional | 52 · Reduced service | $575.44 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $3,311.31 Typical High $3,311.31 | Professional | 53 · Discontinued | $229.09 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $12,302.69 Typical High $12,302.69 | Professional | 54 · Surgery only | $851.14 | $12,302.69 | $12,302.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $2,454.71 Typical High $2,454.71 | Professional | 55 · Aftercare only | $173.78 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $1,659.59 Typical High $1,659.59 | Professional | 56 · Pre-op care only | $114.82 | $1,659.59 | $1,659.59 |
Where Arizona sits
The same service costs 5754.4 times more in Oklahoma than in Maine. 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· 30th of 51
$9,333
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.