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 $89,125.09 Median $100,000.00 Typical High $128,824.96 | Facility | None | $89,125.09 | $100,000.00 | $128,824.96 |
Aetna Setting Professional Modifier None Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | None | $74,131.02 | $74,131.02 | $74,131.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.03 Median $0.04 Typical High $0.07 | Facility | None | $0.03 | $0.04 | $0.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $0.02 Median $0.04 Typical High $0.06 | Professional | None | $0.02 | $0.04 | $0.06 |
Cigna Setting Facility Modifier None Typical Low $97,723.72 Median $134,896.29 Typical High $144,543.98 | Facility | None | $97,723.72 | $134,896.29 | $144,543.98 |
Cigna Setting Professional Modifier None Typical Low $77,624.71 Median $77,624.71 Typical High $77,624.71 | Professional | None | $77,624.71 | $77,624.71 | $77,624.71 |
Medica Setting Facility Modifier None Typical Low $28,840.32 Median $75,857.76 Typical High $91,201.08 | Facility | None | $28,840.32 | $75,857.76 | $91,201.08 |
Medica Setting Professional Modifier None Typical Low $66,069.34 Median $66,069.34 Typical High $66,069.34 | Professional | None | $66,069.34 | $66,069.34 | $66,069.34 |
United Setting Professional Modifier None Typical Low $75,857.76 Median $75,857.76 Typical High $75,857.76 | Professional | None | $75,857.76 | $75,857.76 | $75,857.76 |
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 $37,153.52 Median $37,153.52 Typical High $37,153.52 | Professional | 52 · Reduced service | $37,153.52 | $37,153.52 | $37,153.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | 53 · Discontinued | $14,791.08 | $14,791.08 | $14,791.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | 55 · Aftercare only | $11,220.18 | $11,220.18 | $11,220.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | 56 · Pre-op care only | $7,413.10 | $7,413.10 | $7,413.10 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 41st of 51
$74,131
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.