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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $5,248.07 | Facility | None | $758.58 | $3,467.37 | $5,248.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,511.89 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,090.30 Typical High $12,882.50 | Facility | None | $1,380.38 | $3,090.30 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $15,488.17 | Professional | None | $1,122.02 | $1,737.80 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Facility | None | $1,412.54 | $1,412.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,202.26 | $1,819.70 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Where Arizona sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 32nd of 51
$1,549
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.