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 $3,090.30 Median $3,388.44 Typical High $4,466.84 | Facility | None | $3,090.30 | $3,388.44 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,398.83 | $3,162.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,819.70 Median $8,128.31 Typical High $12,302.69 | Facility | None | $1,819.70 | $8,128.31 | $12,302.69 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $14,454.40 | Professional | None | $2,041.74 | $2,041.74 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $4,073.80 | Facility | None | $2,691.53 | $3,801.89 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,570.40 Typical High $3,311.31 | Facility | None | $1,148.15 | $2,570.40 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $239.88 |
Where Arizona sits
The same service costs 2.0 times more in Arizona 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· 1st of 51
$3,311
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.