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 $6,606.93 Median $7,413.10 Typical High $9,772.37 | Facility | None | $6,606.93 | $7,413.10 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $4,570.88 Median $19,952.62 Typical High $30,902.95 | Facility | None | $4,570.88 | $19,952.62 | $30,902.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $35,481.34 | Professional | None | $5,011.87 | $5,011.87 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $9,332.54 Typical High $10,000.00 | Facility | None | $6,606.93 | $9,332.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $7,244.36 | Facility | None | $5,128.61 | $6,165.95 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
4 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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $512.86 | $512.86 | $512.86 |
Where Arizona sits
The same service costs 2.5 times more in Alaska than in Alabama. 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· 2nd of 51
$8,318
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.