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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,511.89 Median $11,220.18 Typical High $16,982.44 | Facility | None | $2,511.89 | $11,220.18 | $16,982.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $7,244.36 Median $8,317.64 Typical High $15,135.61 | Professional | None | $7,244.36 | $8,317.64 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $4,570.88 Median $10,232.93 Typical High $47,863.01 | Facility | None | $4,570.88 | $10,232.93 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $4,265.80 Median $6,606.93 Typical High $52,480.75 | Professional | None | $4,265.80 | $6,606.93 | $52,480.75 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Facility | None | $4,365.16 | $4,365.16 | $5,128.61 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $4,570.88 Typical High $6,918.31 | Professional | None | $4,265.80 | $4,570.88 | $6,918.31 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $457.09 |
Where Arizona sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 40th of 51
$5,495
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.