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 $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $3,019.95 | Facility | None | $436.52 | $1,995.26 | $3,019.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,445.44 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,659.59 Typical High $8,511.38 | Facility | None | $741.31 | $1,659.59 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $10,964.78 | Professional | None | $758.58 | $1,174.90 | $10,964.78 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $831.76 | Facility | None | $645.65 | $645.65 | $831.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,230.27 | Professional | None | $758.58 | $831.76 | $1,230.27 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Where Arizona sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 37th of 51
$1,000
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.