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 Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $933.25 Median $4,265.80 Typical High $6,456.54 | Facility | None | $933.25 | $4,265.80 | $6,456.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $5,754.40 | Professional | None | $2,754.23 | $3,162.28 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,548.13 Typical High $15,488.17 | Facility | None | $1,584.89 | $3,548.13 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $19,054.61 | Professional | None | $1,348.96 | $2,089.30 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,445.44 | $2,187.76 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Where Arizona sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 34th of 51
$1,778
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.