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 $5,248.07 Typical High $10,232.93 | Facility | None | $977.24 | $5,248.07 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | None | $16,595.87 | $16,595.87 | $16,595.87 |
BCBS Arizona Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $2,238.72 | Facility | None | $363.08 | $851.14 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $13,182.57 Typical High $26,915.35 | Facility | None | $2,398.83 | $13,182.57 | $26,915.35 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $11,220.18 Typical High $25,703.96 | Facility | None | $1,479.11 | $11,220.18 | $25,703.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $11,481.54 Typical High $25,118.86 | Facility | None | $1,513.56 | $11,481.54 | $25,118.86 |
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 $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | 52 · Reduced service | $8,317.64 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | 53 · Discontinued | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | 54 · Surgery only | $12,589.25 | $12,589.25 | $12,589.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 55 · Aftercare only | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 56 · Pre-op care only | $1,659.59 | $1,659.59 | $1,659.59 |
Where Arizona sits
The same service costs 371.5 times more in Wyoming 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· 43rd of 51
$7,943
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.