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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None | $10,964.78 | $10,964.78 | $10,964.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $691.83 Median $4,897.79 Typical High $12,882.50 | Professional | None | $691.83 | $4,897.79 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $8,511.38 Typical High $16,595.87 | Facility | None | $1,548.82 | $8,511.38 | $16,595.87 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $7,585.78 Typical High $15,488.17 | Facility | None | $1,096.48 | $7,585.78 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $12,302.69 | Facility | None | $1,174.90 | $7,943.28 | $12,302.69 |
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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | 52 · Reduced service | $5,495.41 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 53 · Discontinued | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | 54 · Surgery only | $8,128.31 | $8,128.31 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 55 · Aftercare only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $1,096.48 | $1,096.48 | $1,096.48 |
Where Arizona sits
The same service costs 229.1 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· 36th of 51
$6,918
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.