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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,621.81 Median $7,244.36 Typical High $10,964.78 | Facility | None | $1,621.81 | $7,244.36 | $10,964.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $4,677.35 Median $5,370.32 Typical High $9,772.37 | Professional | None | $4,677.35 | $5,370.32 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $2,754.23 Median $6,025.60 Typical High $24,547.09 | Facility | None | $2,754.23 | $6,025.60 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $30,199.52 | Professional | None | $2,089.30 | $3,235.94 | $30,199.52 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Facility | None | $3,019.95 | $3,019.95 | $3,090.30 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,290.87 | $3,467.37 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 3.4 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· 30th of 51
$2,884
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.