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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,995.26 Median $9,120.11 Typical High $13,803.84 | Facility | None | $1,995.26 | $9,120.11 | $13,803.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $5,888.44 Median $6,760.83 Typical High $12,302.69 | Professional | None | $5,888.44 | $6,760.83 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $3,715.35 Median $8,317.64 Typical High $33,113.11 | Facility | None | $3,715.35 | $8,317.64 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $46,773.51 | Professional | None | $2,818.38 | $4,466.84 | $46,773.51 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,370.32 | Facility | None | $4,073.80 | $4,073.80 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,090.30 | $4,677.35 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Where Arizona sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 29th of 51
$4,074
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.