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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $57.54 | Professional | None | $26.92 | $42.66 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $56.23 | Professional | None | $38.90 | $51.29 | $56.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $81.28 | Professional | None | $24.55 | $44.67 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,691.53 Typical High $2,691.53 | Facility | None | $630.96 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $281.84 Typical High $1,862.09 | Facility | None | $42.66 | $281.84 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $114.82 Typical High $323.59 | Professional | None | $46.77 | $114.82 | $323.59 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $74.13 | Professional | None | $30.20 | $46.77 | $74.13 |
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 $13.49 Median $17.38 Typical High $21.38 | Professional | 52 · Reduced service | $13.49 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.08 Typical High $8.51 | Professional | 53 · Discontinued | $5.37 | $7.08 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $26.30 Typical High $31.62 | Professional | 54 · Surgery only | $19.95 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $5.25 Typical High $6.31 | Professional | 55 · Aftercare only | $3.98 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.55 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.69 | $3.55 | $4.27 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in California. 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· 32nd of 51
$52.48
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.