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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $645.65 Median $2,951.21 Typical High $4,466.84 | Facility | None | $645.65 | $2,951.21 | $4,466.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,137.96 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,096.48 | $2,398.83 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $11,748.98 | Professional | None | $851.14 | $1,318.26 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $1,258.93 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,380.38 | Professional | None | $851.14 | $912.01 | $1,380.38 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Where Arizona sits
The same service costs 2.8 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· 30th of 51
$1,202
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.