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 $5,495.41 Median $6,165.95 Typical High $8,128.31 | Facility | None | $5,495.41 | $6,165.95 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $4,677.35 | Professional | None | $3,981.07 | $4,365.16 | $4,677.35 |
BCBS Arizona Setting Facility Modifier None Typical Low $3,235.94 Median $14,125.38 Typical High $21,379.62 | Facility | None | $3,235.94 | $14,125.38 | $21,379.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $25,703.96 | Professional | None | $3,630.78 | $3,630.78 | $25,703.96 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $6,918.31 Typical High $7,413.10 | Facility | None | $4,897.79 | $6,918.31 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $5,754.40 | Facility | None | $3,630.78 | $4,786.30 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 55 · Aftercare only | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 56 · Pre-op care only | $436.52 | $436.52 | $436.52 |
Where Arizona sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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
$6,026
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.